Individual
PANKAJ SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2333 WHITEHORSE MERCERVILLE RD, SUITE A, TRENTON, NJ 08619-1946
(609) 689-0800
(609) 689-0567
Mailing address
21 SUNFLOWER LN, HAMILTON, NJ 08620-3003
(609) 689-0800
(609) 689-0567
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
40QA00250700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00250700
PHYSICAL THERAPIST
NJ
Enumeration date
03/27/2007
Last updated
07/08/2007
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