| Doctor Name: | TARUN J SHAH |
| NPI Number: | 1053385484 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MA59668 |
| Business Practice Address: | 2130 Highway 35 Suite 115a Sea Girt, NJ - 087501010 |
| Business Phone Number: | 7329749797 |
| Business Fax Number: | 7329749799 |
| Mailing Address: | 2130 Highway 35, Suite 115a SEA GIRT |
| State: | NJ |
| Postal Code: | 087501010 |
| Phone Number: | 7329749797 |
| Fax Number: | 7329749799 |
| NPI Enumeration Date: | 02/14/2006 |
| NPI Last Update Date: | 10/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | MA59668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |