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Organization

ESSEX PLAZA MEDICAL ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDHYA R SHAH (PRESIDENT)
(973) 642-0280
Entity
Organization

Contact information

Practice address
1060 BROAD ST, NEWARK, NJ 07102-2397
(973) 642-0280
(973) 642-0047
Mailing address
95 FALCON RD, LIVINGSTON, NJ 07039-4427
(973) 642-0280
(973) 642-0047

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA45456
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1148001
NJ
Enumeration date
09/11/2007
Last updated
06/12/2013
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