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1083947279
SANJAYKUMAR SHAH
EAST ORANGE, NJ
NPI
1083947279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ 26NJ00228100)
Enumeration Date
2009-09-07
Last Update Date
2019-04-22
Business Address
SANJAYKUMAR SHAH APN
310 CENTRAL AVENUE SUITE 102
EAST ORANGE, NJ 07018
Phone number: 973-395-1550
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Mailing Address
SANJAYKUMAR SHAH APN
21 EDGEWOOD ROAD
SUMMIT, NJ 07901
Phone number: 973-395-1550
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