Organization
SHRENIK G SHAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHRENIK G SHAH MD (DOCTOR)
(973) 338-8059
Entity
Organization
Contact information
Practice address
55 W PASSAIC AVE, BLOOMFIELD, NJ 07003-4502
(973) 338-8059
(973) 338-6013
Mailing address
55 W PASSAIC AVE, BLOOMFIELD, NJ 07003-4502
(973) 338-8059
(973) 338-6013
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA044420
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4699106
—
NJ
Enumeration date
09/27/2013
Last updated
09/30/2013
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