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1609822360
KETAN D. SHAH
NORTH BERGEN, NJ
NPI
1609822360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NJ 25MD00270100)
Enumeration Date
2006-05-25
Last Update Date
2008-03-31
Business Address
Dr. KETAN D. SHAH D.P.M.
9234 KENNEDY BLVD
NORTH BERGEN, NJ 07047-5312
Phone number: 201-868-2400
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Mailing Address
Dr. KETAN D. SHAH D.P.M.
9234 KENNEDY BLVD
NORTH BERGEN, NJ 07047-5312
Phone number: 201-868-2400
Copy
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