Organization
SPECIALIST IN THORACIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMJI SHAH MD (PRESIDENT)
(973) 313-0011
Entity
Organization
Contact information
Practice address
96 MILLBURN AVE, STE200A, MILLBURN, NJ 07041-1944
(973) 313-0011
(973) 763-1589
Mailing address
96 MILLBURN AVE, STE200A, MILLBURN, NJ 07041-1944
(973) 313-0011
(973) 763-1589
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA04588100
NJ
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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