Individual
DMITRY A SHELCHKOV
Active
Individual
DMITRY A SHELCHKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08127900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38314
ABA CERTIFICATE #
NJ
01
—
P00678791
RAILROAD MEDICARE
NJ
Enumeration date
08/30/2006
Last updated
10/14/2011
Update your record
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