Healthcare Provider Details

I. General information

NPI: 1760836365
Provider Name (Legal Business Name): AURA RHEUMATOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2016
Last Update Date: 04/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2239 WHITEHORSE MERCERVILLE RD SUITE 1
HAMILTON NJ
08619-2656
US

IV. Provider business mailing address

2239 WHITEHORSE MERCERVILLE RD SUITE 1
HAMILTON NJ
08619-2656
US

V. Phone/Fax

Practice location:
  • Phone: 609-838-9700
  • Fax: 609-838-9702
Mailing address:
  • Phone: 609-838-9700
  • Fax: 609-838-9702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: REHAN SHAH
Title or Position: OWNER
Credential:
Phone: 609-838-9700