Individual
ASHISH SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H, F.A.C.C
Contact information
Practice address
901 W MAIN ST, SUITE 205, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 463-6082
Mailing address
901 W MAIN ST, SUITE 205, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 463-6082
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
25MA09691700
NJ
207RC0000X
Cardiovascular Disease Physician
25MA09691700
NJ
Other
Enumeration date
08/17/2009
Last updated
02/28/2017
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