Doctor Name: | DR. UTPAL SURESH SHAH |
NPI Number: | 1225066491 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MA072768 |
Business Practice Address: | 300b Princeton Hightstown Rd Suite #201 East Windsor, NJ - 085201411 |
Business Phone Number: | 6094487300 |
Business Fax Number: | 6094488022 |
Mailing Address: | 300b Princeton Hightstown Rd, Suite #201 EAST WINDSOR |
State: | NJ |
Postal Code: | 085201411 |
Phone Number: | 6094487300 |
Fax Number: | 6094488022 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | MA072768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |