Individual
SARA SHAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
24 STELTON RD, PISCATAWAY, NJ 08854-2639
(732) 395-1282
(732) 658-6392
Mailing address
24 STELTON RD, PISCATAWAY, NJ 08854-2639
(732) 395-1282
(732) 424-0443
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
954704
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200397267
HORIZON BCBS-NJ
NJ
01
—
2634157
UNITED HEALTHCARE
NJ
01
—
7654551
AETNA
NJ
01
—
P3686480
OXFORD
NJ
01
—
P3699965
OXFORD
NJ
Enumeration date
12/13/2006
Last updated
06/23/2014
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