Individual
ELLIOT SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2255 KENNEDY BLVD, JERSEY CITY, NJ 07304
(201) 433-1057
(201) 435-2716
Mailing address
2255 KENNEDY BLVD, JERSEY CITY, NJ 07304
(201) 433-1057
(201) 435-2716
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
NJ6J652
NJ
208800000X
Urology Physician
NY18753
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7312008
—
NJ
Enumeration date
07/19/2006
Last updated
07/08/2007
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