Individual
KRISTI SHOAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE RADIOLOGY DEPT, HACKENSACK, NJ 07601
(551) 996-2200
Mailing address
130 KINDERKAMACK RD STE 200, RIVER EDGE, NJ 07661
(201) 488-2660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA12222600
NJ
2085R0202X
Diagnostic Radiology Physician
321764
NY
Other
Enumeration date
04/19/2018
Last updated
07/10/2024
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