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Organization

PREMIER ORTHOPAEDIC SPINE ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAHUL SHAH DO (DO)
(856) 896-2333
Entity
Organization

Contact information

Practice address
298 S DELSEA DR, VINELAND, NJ 08360
(856) 896-2333
(856) 896-2334
Mailing address
298 S DELSEA DR, VINELAND, NJ 08360-4568
(856) 896-2333
(856) 896-2334

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA08542100
NJ

Other

Enumeration date
05/29/2018
Last updated
08/28/2018
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