Individual
PURVI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(848) 219-2968
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01420000
NJ
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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