Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MA078369 | NJ |
N | 207KA0200X | Allergist | MD436687 | PA |
NPI | 1528272432 |
---|---|
Provider Name | Dr. Shashank S Sheth |
First Address | Voorhees, NJ 08043-9626 |
Second Address | Voorhees, NJ 08043-9626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 02/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0410978 | GHI (01) | NJ |
126807 | (02) | NJ |
1528272432 | AETNA (01) | NJ |
3582360000 | AMERIHEALTH (01) | NJ |
8272851 | CIGNA (01) | NJ |
8828709 | (05) | NJ |