Organization
MEHUL N SHAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHUL N SHAH M.D. (M.D.)
(973) 376-2121
Entity
Organization
Contact information
Practice address
90 FARBROOK DR, SHORT HILLS, NJ 07078-3007
(973) 376-2121
(973) 467-0150
Mailing address
116 MILLBURN AVE, MILLBURN, NJ 07041-1943
(973) 376-2121
(973) 467-0150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04839600
NJ
207RG0100X
Gastroenterology Physician
Primary
25MA04839600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4590007
—
NJ
Enumeration date
11/09/2007
Last updated
11/09/2007
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