Individual
ANKIT PRAFULBHAI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 JACK MARTIN BLVD, SUITE D 1, BRICK, NJ 08724-7771
(732) 458-5854
Mailing address
210 JACK MARTIN BLVD, SUITE D 1, BRICK, NJ 08724-7771
(732) 458-5854
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA09142700
NJ
Other
Enumeration date
01/28/2009
Last updated
12/29/2014
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