Organization
ANJALI SHAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJALI N SHAH MD (OWNER)
(845) 563-9055
Entity
Organization
Contact information
Practice address
169 N PLANK RD, NEWBURGH, NY 12550-1723
(845) 563-9055
(845) 917-9077
Mailing address
169 N PLANK RD, NEWBURGH, NY 12550-1723
(845) 563-9055
(845) 917-9077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
233116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02593199
—
NY
Enumeration date
02/08/2016
Last updated
02/08/2016
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