Individual
ASHISH C SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3086 STATE ROUTE 27, SUITE 10, KENDALL PARK, NJ 08824-1658
(844) 543-5864
(844) 314-1144
Mailing address
3086 STATE ROUTE 27, SUITE 10, KENDALL PARK, NJ 08824-1658
(844) 543-5864
(844) 314-1144
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
2008-01931
NC
2080P0214X
Pediatric Pulmonology Physician
Primary
25MA09774800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0525278
—
NJ
Enumeration date
02/05/2009
Last updated
12/13/2016
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