MEDICARE: SHALIN TARUN SHAH D.O.

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
1	207X00000X	Orthopaedic Surgery Physician	25MB12112200	NJ
2	207X00000X	Orthopaedic Surgery Physician	306151	NY

General Provider Information

NPI Number	:	1083098271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALIN TARUN SHAH D.O.

Provider Business Mailing Address
First Line	:	331 NEWMAN SPRINGS RD STE 220
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701-5688
Country	:	US
Telephone Number	:	732-807-0877
Fax Number	:	201-751-1680

Provider Business Practice Location Address
First Line	:	1 BETHANY RD STE 21
Second Line	:
City	:	HAZLET
State	:	NJ
Zip	:	07730-1660
Country	:	US
Telephone Number	:	732-264-8282
Fax Number	:	732-264-8131

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2015
Last Update Date	:	04/23/2024

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