Individual
DR. SHAUNAK A DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
333 FORSGATE DR, SUITE 205, JAMESBURG, NJ 08831-1567
(732) 521-0800
(732) 521-0833
Mailing address
37 GOODWIN DR, NORTH BRUNSWICK, NJ 08902-4268
(516) 314-1485
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MB08928100
NJ
Other
Enumeration date
05/24/2008
Last updated
07/06/2011
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