Shah Primary Care

NPI #1750056644 in Wayne, New Jersey

Provider Information

NPI Number: 1750056644
Entity Type: Organization
Organization Name: Shah Primary Care
Primary Specialty: Internal Medicine
Enumeration Date: Aug 12, 2021
Last Updated: Aug 16, 2021

Practice Location

Address: 1680 RTE 23 STE 160
City: Wayne
State: New Jersey
ZIP Code: 07470-7512
Phone: (973) 221-2500

Authorized Official

Name: SHIPRA SHAH
Title: OWNER
Phone: (973) 221-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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