Individual
DR. JIGISHA TANMAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
780 CEDAR LN, VALLEY HEALTH MEDICAL GROUP, TEANECK, NJ 07666-1706
(201) 836-7664
Mailing address
780 CEDAR LN, VALLEY HEALTH MEDICAL GROUP, TEANECK, NJ 07666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08992800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2008
Last updated
12/28/2011
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