Individual
MISS HEATHER ELLEN SHAFAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
(908) 788-6183
Mailing address
PO BOX 791, FLEMINGTON, NJ 08822-0791
(908) 237-5420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00267200
NJ
Other
Enumeration date
09/21/2011
Last updated
12/18/2017
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