Individual
DEVYANI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
183 S ORANGE AVE # E1546, NEWARK, NJ 07103
(973) 972-2977
Mailing address
30 BERGEN ST RM 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA10477800
NJ
Other
Enumeration date
04/03/2014
Last updated
02/02/2022
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