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Dr. Siddesh Shambhu, MD
Student in an Organized Health Care Education/Training Program in Summit, New Jersey
NPI 1659755601

Siddesh Shambhu is a Student in an Organized Health Care Education/Training Program based in Summit, NJ. Siddesh Shambhu practices in Summit, NJ and has the professional credentials of MD. The NPI Number for Siddesh Shambhu is 1659755601 and holds a License No. 00000000 (New Jersey).

The current practice location address for Siddesh Shambhu is 99 Beauvoir Ave, Summit, NJ and can be reached out via phone at 908-522-2000.

Location: 99 Beauvoir Ave, Summit, NJ, 07901-3533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659755601
Provider Name
Siddesh Shambhu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
99 Beauvoir Ave, Summit, NJ, 07901-3533
Phone Number
908-522-2000
Fax Number
Provider Enumeration Date
07/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
99 Beauvoir Ave
City
Summit
State
New Jersey
Zip
07901-3533
Phone Number
908-522-2000
Fax Number
person
Provider Business Mailing Address Details
Address
99 Beauvoir Ave
City
Summit
State
New Jersey
Zip
07901-3533
Phone Number
908-522-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
00000000 ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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