Organization
MERCER SURGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA ALI SHAH DO (OWNER)
(609) 586-9788
Entity
Organization
Contact information
Practice address
2063 KLOCKNER RD, HAMILTON, NJ 08690-3414
(609) 586-9788
(609) 586-1232
Mailing address
2063 KLOCKNER RD, HAMILTON, NJ 08690-3414
(609) 586-9788
(609) 586-1232
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MB06764700
NJ
Other
Enumeration date
05/23/2006
Last updated
08/14/2008
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