Individual
DR. AJIT M. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3589
(973) 566-9900
(973) 566-6692
Mailing address
206 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3589
(973) 566-9900
(973) 566-6692
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA02998200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2884801
—
NJ
Enumeration date
06/12/2006
Last updated
07/26/2013
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