Individual
SAURABH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2200
Mailing address
22 FOREST GLEN DR, HIGHLAND PARK, NJ 08904-1907
(301) 401-7800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00658600
NJ
Other
Enumeration date
10/11/2021
Last updated
04/25/2024
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