| Ajit M. Shah, Md Pc | |
|
201 Route 17 Rutherford NJ 07070-2574 | |
| (201) 549-8890 | |
| Not Available |
| Full Name | Ajit M. Shah, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Route 17, Rutherford, New Jersey |
| Authorized Official Name and Position | Ajit M Shah (OWNER) |
| Authorized Official Contact | 9735686660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajit M. Shah, Md Pc 201 Route 17 Rutherford NJ 07070-2574 Ph: () - | Ajit M. Shah, Md Pc 201 Route 17 Rutherford NJ 07070-2574 Ph: (201) 549-8890 |
| NPI Number | 1508283862 |
|---|---|
| Provider Enumeration Date | 03/25/2014 |
| Last Update Date | 03/25/2014 |
| Medicare PECOS PAC ID | 4587884408 |
|---|---|
| Medicare Enrollment ID | O20140927000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508283862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA02998200 (New Jersey) | Primary |
| Provider Name | Ajit Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851333793 PECOS PAC ID: 2567433295 Enrollment ID: I20050908000682 |
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