NPI 1043408073

Rupali Pradip Shah, PAC

Practitioner Surgical Physician Assistant Newark, NJ

Practice location

Address: 201 Lyons Ave Dept of Cardiothoracic Surgery- G5, Newark, NJ 07112-2027
Phone: (973) 926-8032
Fax: (973) 923-4683

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 25MP00118000 (NJ)

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Registry record

NPI: 1043408073
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2007
Record last updated: 3 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.