Individual
DR. MARK SHMULEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 CHESTNUT ST, SUITE 101, ROSELLE, NJ 07203-1297
(908) 241-7740
(908) 241-7741
Mailing address
12 MILLIE LN, EAST HANOVER, NJ 07936-3426
(973) 801-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
230815
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07922500
NJ
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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