Individual
ADITI SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 QUAKERBRIDGE RD STE 28, HAMILTON, NJ 08619-1658
(609) 245-7430
Mailing address
4 KINGSTONE LN, EAST WINDSOR, NJ 08520-2985
(650) 279-9256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10957100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94190259F15257
STATE OF CALIFORNIA BENEFITS IDENTIFICATION CARD
CA
Enumeration date
04/07/2016
Last updated
11/10/2021
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