Individual
SHANNON ECCLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB10151000
NJ
208000000X
Pediatrics Physician
OS018661
PA
Other
Enumeration date
05/01/2017
Last updated
08/21/2017
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