Organization
SHATKIN CARDIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT SHATKIN MD (PHYSICIAN)
(609) 774-5372
Entity
Organization
Contact information
Practice address
9901 SEAPOINTE BLVD, WILDWOOD CREST, NJ 08260-6203
(609) 774-5372
Mailing address
6083 WILDCAT RUN, WEST PALM BEACH, FL 33412-3006
(609) 774-5372
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA52095
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100030120
AMERICHOICE
NJ
05
—
0528307
—
NJ
01
—
2264673
CIGNA
NH
01
—
2285745000
AMERIHEALTH
NJ
01
—
4090043
AETNA
NJ
01
—
60008152
HORIZON NJ HEALTH
NJ
01
—
P379352
OXFORD
NJ
Enumeration date
04/12/2007
Last updated
03/22/2016
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