Most Relevant Information
Provider Data
| NPI Number: | 1003336751 |
| Provider Name: | MAULIK D SHAH |
| Entity Type: | Individual |
| Taxonomy Code: | 207RG0100X |
| Specialty: | Internal Medicine |
| License Number: | 25MB11446600 |
Most Important Dates
| Enumeration Date: | 06/23/2017 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
1113 HOSPITAL DR STE 100B
WILLINGBORO
NJ
080461128
Practice Location Phone/Fax
| Phone: | 6098353624 |
| Fax: | 6098353628 |
Provider Mailing Location
301 LIPPINCOTT DR STE 410
MARLTON
NJ
080534197
Provider Mailing Phone/Fax
| Phone: | 6098353624 |
| Fax: | 6098353628 |
Suggested EMR
Gastroenterology EMR