MEDICARE: SHILPA SHROFF MD

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	207R00000X	Internal Medicine Physician	MA07677300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P3580463	OTHER		OXFORD

General Provider Information

NPI Number	:	1245338391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHILPA SHROFF MD

Provider Business Mailing Address
First Line	:	1000 GALLOPING HILL RD STE 106
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7989
Country	:	US
Telephone Number	:	908-598-7950
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 GALLOPING HILL RD STE 106
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7989
Country	:	US
Telephone Number	:	908-598-7950
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/12/2023

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