Individual
KETANKUMAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 CINDER RD, EDISON, NJ 08820-3373
(732) 429-5499
Mailing address
608 CINDER RD, EDISON, NJ 08820-3373
(732) 429-5499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054281
CT
Other
Enumeration date
01/26/2015
Last updated
09/01/2015
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