Individual
ANUJ RAJU SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
293 PASSAIC ST, PASSAIC, NJ 07055-5803
(973) 916-0002
(973) 916-0027
Mailing address
293 PASSAIC ST, PASSAIC, NJ 07055-5803
(973) 916-0002
(973) 916-0027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09220600
NJ
207RC0000X
Cardiovascular Disease Physician
265026
NY
207RI0011X
Interventional Cardiology Physician
25MA09220600
NJ
207RI0011X
Interventional Cardiology Physician
265026
NY
Other
Enumeration date
05/07/2008
Last updated
06/17/2020
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