Dr HETAL S SHAH MD is a male medical professional, specializing in Family Medicine. He graduated in 2000 from Wright State University School Of Medicine.
TABERNACLE FAMILY PHYSICIANS LLC
1529 ROUTE 206
SUITE L
TABERNACLE
NJ
080888801
Tel: 6092680707
| Npi | 1497784094 |
| Pac Id | 1759354020 |
| Professional Enrollment Id | I20040816000355 |
| Last Name | SHAH |
| First Name | HETAL |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | TABERNACLE FAMILY PHYSICIANS LLC |
| Group Practice Pac Id | 0547366064 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 1529 ROUTE 206 |
| Line 2 Street Address | SUITE L |
| Marker Of Address Line 2 Suppression | |
| City | TABERNACLE |
| State | NJ |
| Zip Code | 080888801 |
| Phone Number | 6092680707 |
| Hospital Affiliation Ccn 1 | 310022 |
| Hospital Affiliation Lbn 1 | VIRTUA WEST JERSEY HOSPITALS |
| Hospital Affiliation Ccn 2 | 310086 |
| Hospital Affiliation Lbn 2 | JEFFERSON STRATFORD HOSPITAL |
| Hospital Affiliation Ccn 3 | 310057 |
| Hospital Affiliation Lbn 3 | VIRTUA MEMORIAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
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