Most Relevant Information
Provider Data
| NPI Number: | 1003309113 |
| Provider Name: | DHAVAL D SHAH PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2018 |
| Last Updated: | 06/13/2018 |
Provider Practice Location
87 SUMMIT AVE
HACKENSACK
NJ
076011262
Practice Location Phone/Fax
| Phone: | 2014890022 |
| Fax: | 2014896991 |
Provider Mailing Location
87 SUMMIT AVE
HACKENSACK
NJ
076011262
Provider Mailing Phone/Fax
| Phone: | 2014890022 |
| Fax: | 2014896991 |