Individual
DR. MANOUCHEHR T SHAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 CENTRAL AVE, MIDLAND PARK, NJ 07432
(201) 689-0800
(201) 689-0871
Mailing address
33 CENTRAL AVE, MIDLAND PARK, NJ 07432
(201) 689-0800
(201) 689-0871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA02694700
NJ
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
25MA04825700
NJ
207V00000X
Obstetrics & Gynecology Physician
MA02694700
NJ
208100000X
Physical Medicine & Rehabilitation Physician
25MA02694700
NJ
2085R0202X
Diagnostic Radiology Physician
25MA04825700
NJ
2085U0001X
Diagnostic Ultrasound Physician
25MA04825700
NJ
2086S0129X
Vascular Surgery Physician
25MA02694700
NJ
208VP0000X
Pain Medicine Physician
MA02694700
NJ
Other
Enumeration date
08/14/2006
Last updated
12/10/2021
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