Individual
ANAND SANDEEP SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
150 BERGEN ST RM I-248, NEWARK, NJ 07103-2496
(973) 972-6056
(973) 972-3129
Mailing address
1070 MORRIS AVE APT 1123, UNION, NJ 07083-7158
(908) 941-8370
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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