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1417081993
PANKAJ H SHAH
PERTH AMBOY, NJ
NPI
1417081993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 22DI02423700)
Enumeration Date
2007-03-15
Last Update Date
2020-01-09
Business Address
Dr. PANKAJ H SHAH DMD
275 HOBART ST
PERTH AMBOY, NJ 08861-3396
Phone number: 732-376-9333
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Mailing Address
Dr. PANKAJ H SHAH DMD
PO BOX 1220 ATTN: CREDENTIALING/HR
PERTH AMBOY, NJ 08862-1220
Phone number: 732-376-9333
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