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1881654168
CHANDRAVADAN I SHAH
LAKEWOOD, NJ
NPI
1881654168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NJ 25MA04906800)
Enumeration Date
2006-03-23
Last Update Date
2023-03-07
Business Address
Dr. CHANDRAVADAN I SHAH MD
101 2ND ST OHI INC
LAKEWOOD, NJ 08701-3324
Phone number: 732-363-6655
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Mailing Address
Dr. CHANDRAVADAN I SHAH MD
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: 732-363-6655
Copy
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