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Individual
DR. SHANA S SHOULSON
Active
Individual
DR. SHANA S SHOULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06419500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072761
—
NJ
Enumeration date
09/01/2006
Last updated
08/24/2017
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