Individual
DR. SHIVAM MITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
Mailing address
285 DAVIDSON AVE STE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10233300
NJ
208M00000X
Hospitalist Physician
MD464391
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/15/2015
Last updated
04/15/2026
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