RICKY J SHAH

LAKEWOOD, NJ
NPI1700216322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00586200)
Enumeration Date2013-11-18
Last Update Date2024-11-07
Business Address
Mr. RICKY J SHAH PA-C
1771 MADISON AVE
LAKEWOOD, NJ 08701-1242
Phone number: 732-364-2222
Mailing Address
Mr. RICKY J SHAH PA-C
1771 MADISON AVE
LAKEWOOD, NJ 08701-1242
Phone number: 245-323-3872