Individual
MANAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11044100
NJ
208000000X
Pediatrics Physician
35.133449
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
25MA11044100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/11/2015
Last updated
04/09/2024
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