Shah, Smita

Shah, Smita is an individual health care provider with primary practice located at 741 Northfield Ave Ste 201 , West Orange NJ 07052-1104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Shah, Smita can be contacted via phone (973) 379-5181.

Contact Information

Primary practice address
741 Northfield Ave Ste 201 West Orange NJ 07052-1104
Phone: (973) 379-5181
Fax: (973) 379-6181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MA45882 New Jersey

Profile Details

NPI number 1790847903
LBN Legal business name Shah, Smita
Credentials MB,BS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Nov 29th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790847903 NPPES
New Jersey MEDICAID 0898805

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