Individual
SHAW B CONDIOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 N GILBERT ST, SUITE 2101, TINTON FALLS, NJ 07701-4904
(732) 842-6677
(732) 530-2946
Mailing address
55 N GILBERT ST, SUITE 2101, TINTON FALLS, NJ 07701-4904
(732) 842-6677
(732) 530-2946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA7092
NJ
Other
Enumeration date
11/22/2005
Last updated
07/13/2010
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