Organization
LIBERTY PAIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHRUTI A SHAH MD (DOCTOR)
(732) 665-6492
Entity
Organization
Contact information
Practice address
670 N BEERS ST BLDG NO3, HOLMDEL, NJ 07733-1516
(732) 665-6492
(732) 856-9901
Mailing address
84 WICK DR, FORDS, NJ 08863-1444
(732) 665-6492
(732) 856-9901
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NJ
Other
Enumeration date
10/03/2017
Last updated
06/06/2025
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