Individual
MISS SALLY LUCINDA SHUMAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
416 MECHLIN CORNER RD, PITTSTOWN, NJ 08867-5016
(908) 735-9344
(908) 735-7136
Mailing address
416 MECHLIN CORNER RD, PITTSTOWN, NJ 08867-5016
(908) 735-9344
(908) 735-7136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00150800
NJ
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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