person
Dr. Reza Ali Shah, DO
Vascular Surgery Physician in Hamilton, New Jersey
NPI 1891740080

Reza Ali Shah is a Vascular Surgery Physician based in Mercerville, NJ and is specialized in Vascular Surgery. Reza Ali Shah practices in Hamilton, NJ and has the professional credentials of DO. The NPI Number for Reza Ali Shah is 1891740080 and holds a License No. 25MB06764700 (New Jersey).

The current practice location address for Reza Ali Shah is 2063 Klockner Rd, Hamilton, NJ and can be reached out via phone at 609-586-9788 and via fax at 609-586-1232.

Location: 2063 Klockner Rd, Hamilton, NJ, 08619-0444
person
Provider Profile Details
NPI Number
1891740080
Provider Name
Reza Ali Shah
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2063 Klockner Rd, Hamilton, NJ, 08619-0444
Phone Number
609-586-9788
Fax Number
609-586-1232
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2690963000 01 NJ AMERIHEALTH
3K2190 01 NJ HEALTHNET
5727757 01 NJ AETNA
7180223002 01 NJ CIGNA
P1626337 01 NJ OXFORD
7947801 05 NJ
203985484 01 NJ TAX ID
2039854840 01 NJ HORIZON
60032148 01 NJ HORIZON NJ HEALTH
7279755 01 NJ UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
2063 Klockner Rd
City
State
Zip
08690-3414
Phone Number
609-586-9788
Fax Number
609-586-1232
person
Provider Business Mailing Address Details
Address
2063 Klockner Rd
City
State
Zip
08690-3414
Phone Number
609-586-9788
Fax Number
609-586-1232
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
25MB06764700 (New Jersey)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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