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1134850332
NISHA SHAH
PHILADELPHIA, PA
NPI
1134850332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OT022095)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
NISHA SHAH DO
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 215-707-0874
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Mailing Address
NISHA SHAH DO
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number:
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