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NPI Code Detail

MEDICARE: MRS. RUPAL SHAH

MEDICARE: MRS. RUPAL SHAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI02314100NJ

General Provider Information

NPI Number : 1073725362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUPAL SHAH
Provider Business Mailing Address
First Line : 385 WOOD AVE
Second Line :
City : EDISON
State : NJ
Zip : 08820-2349
Country : US
Telephone Number : 732-321-1991
Fax Number :
Provider Business Practice Location Address
First Line : 570 BLOOMFIELD AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07107-1346
Country : US
Telephone Number : 973-482-6753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. RUPAL SHAH ” Practice Location

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