Individual
DR. TARAL JOBANPUTRA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 ENGLISH CREEK AVE, BUILDING 800, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 407-2277
(609) 272-6306
Mailing address
1046 BALLY BUNION DR, EGG HARBOR CITY, NJ 08215-5104
(848) 667-3795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08816300
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA08816300
NJ
Other
Enumeration date
03/22/2011
Last updated
04/08/2020
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