Individual
SWAPNIL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, DNP, RN
Contact information
Practice address
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3957
(201) 670-8660
Mailing address
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3957
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01203600
NJ
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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