Individual
DR. PRITI G SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
385 CRANBURY RD, SUITE #3, EAST BRUNSWICK, NJ 08816-3000
(732) 390-7645
(732) 390-7345
Mailing address
385 CRANBURY RD, SUITE #3, EAST BRUNSWICK, NJ 08816-3000
(732) 390-7645
(732) 390-7345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02176800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9039902
—
NJ
Enumeration date
02/13/2007
Last updated
07/08/2007
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