Organization
FUNCTIONAL HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILAY SHAH M.D. (OWNER)
(866) 335-4040
Entity
Organization
Contact information
Practice address
234 BOUNDARY RD UNIT 107, MARLBORO, NJ 07746-1479
(866) 335-4040
(800) 322-0262
Mailing address
750 RTE 34 STE 9, MATAWAN, NJ 07747-4600
(866) 335-4040
(800) 322-0262
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA08113500
NJ
Other
Enumeration date
11/21/2013
Last updated
10/24/2017
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