Individual
DR. VINNIE POOJA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8682
(908) 277-8694
Mailing address
2371 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 371-0141
(203) 371-6585
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
053079
CT
207W00000X
Ophthalmology Physician
Primary
25MA08916300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004001665
—
CT
Enumeration date
04/24/2008
Last updated
12/13/2017
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