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Individual

LEENA V SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
94 OLD SHORT HILLS ROAD, LIVINGSTON, NJ 07039-5606
(973) 322-5000
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4918
(732) 212-0060

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00013900
NJ
363AM0700X
Medical Physician Assistant
25MP00013900
NJ

Other

Enumeration date
05/18/2006
Last updated
02/04/2008
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