Individual
SYED M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
435 59TH ST, WEST NEW YORK, NJ 07093-2107
(201) 295-1988
(201) 295-0266
Mailing address
PO BOX 4505, WARREN, NJ 07059-0505
(201) 295-1988
(201) 295-0266
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MA05780900
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA057809
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7323000
—
NJ
Enumeration date
07/28/2006
Last updated
10/11/2016
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