Individual
TANMAYA C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 CARNIE BLVD, SUITE B-5, VOORHEES, NJ 08043-4512
(856) 374-4031
Mailing address
PO BOX 1710, VOORHEES, NJ 08043-7710
(856) 770-0504
(856) 770-0395
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
231272
MA
Other
Enumeration date
04/25/2007
Last updated
06/01/2012
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