Individual
ADAM BENNETT SHALEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5200
Mailing address
2711 NE 57TH ST, FORT LAUDERDALE, FL 33308-2719
(954) 296-5074
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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