Individual
MRUNALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 UNION AVE STE 606, IRVINGTON, NJ 07111-3262
(862) 849-2821
(862) 849-2803
Mailing address
50 UNION AVE STE 606, IRVINGTON, NJ 07111-3262
(862) 849-2821
(862) 849-2803
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HP0285500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP0285500
DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
08/17/2020
Last updated
08/17/2020
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