Individual
DR. MENA A SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DO
Contact information
Practice address
100 BREWSTER BLVD, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, CAMP LEJEUNE, NC 28547-2538
(814) 244-0789
Mailing address
100 BREWSTER BLVD, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, CAMP LEJEUNE, NC 28547-2538
(814) 244-0789
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2015-01007
NC
207VG0400X
Gynecology Physician
2015-01007
NC
207VX0000X
Obstetrics Physician
2015-01007
NC
Other
Enumeration date
06/01/2011
Last updated
06/29/2015
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