Shah, Mamta M
Shah, Mamta M is an individual health care provider with primary practice located at 1100 Centennial Ave Suite# 101, Piscataway NJ 08854-4152. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shah, Mamta M can be contacted via phone (732) 562-1111.Contact Information
Primary practice address
1100 Centennial Ave Suite# 101
Piscataway NJ 08854-4152
Phone: (732) 562-1111
Fax: (732) 562-9666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DI02123400 | New Jersey |
Profile Details
| NPI number | 1043212582 |
|---|---|
| LBN Legal business name | Shah, Mamta M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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