Shree Tara Diversified
NPI #1508583493 in Union City, New Jersey
Provider Information
- NPI Number
- 1508583493
- Entity Type
- Organization
- Organization Name
- Shree Tara Diversified
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 21, 2022
- Last Updated
- Oct 21, 2022
Practice Location
- Address
- 2115 BERGENLINE AVE
- City
- Union City
- State
- New Jersey
- ZIP Code
- 07087-3507
- Phone
- (201) 766-5538
Authorized Official
- Name
- KUSHYUP SHAH, MD
- Title
- OWNER
- Phone
- (201) 766-5538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies |
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