Individual
MRS. SHIRA VERSCHLEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 JAMES ST, LAKEWOOD, NJ 08701-4101
(732) 363-4003
(732) 363-4447
Mailing address
150 JAMES ST, LAKEWOOD, NJ 08701-4101
(732) 363-4003
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00300100
NJ
Other
Enumeration date
12/30/2012
Last updated
07/30/2025
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