Individual
SHAWN SIDHARTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
596 ANDERSON AVE STE 216, CLIFFSIDE PARK, NJ 07010-1856
(201) 772-2329
Mailing address
90 MATAWAN RD STE 302, MATAWAN, NJ 07747-2653
(732) 441-7177
(732) 441-7165
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA12047200
NJ
2084N0400X
Neurology Physician
281570-1
NY
208D00000X
General Practice Physician
281570-1
NY
208VP0014X
Interventional Pain Medicine Physician
25MA12047200
NJ
208VP0014X
Interventional Pain Medicine Physician
281570-1
NY
Other
Enumeration date
03/28/2012
Last updated
01/12/2026
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