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1700216322
RICKY J SHAH
LAKEWOOD, NJ
NPI
1700216322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00586200)
Enumeration Date
2013-11-18
Last Update Date
2024-11-07
Business Address
Mr. RICKY J SHAH PA-C
1771 MADISON AVE
LAKEWOOD, NJ 08701-1242
Phone number: 732-364-2222
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Mailing Address
Mr. RICKY J SHAH PA-C
1771 MADISON AVE
LAKEWOOD, NJ 08701-1242
Phone number: 245-323-3872
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