Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 25MA07138000 | NJ |
NPI | 1265452932 |
---|---|
Provider Name | Dr. Falguni Shah |
First Address | Mountain Lakes, NJ 07046-1616 |
Second Address | Mountain Lakes, NJ 07046-1616 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
HO5680 | (02) | NJ |