Individual
AMOL R SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 BROAD ST STE 2A, NEWARK, NJ 07102-2321
(973) 642-3155
(973) 642-0047
Mailing address
18 BUCHANON CT, WEST ORANGE, NJ 07052-1126
(973) 642-3155
(973) 642-0047
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA10400300
NJ
Other
Enumeration date
07/03/2013
Last updated
08/05/2020
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