Individual
DR. ALEXANDRE M SHEHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 FRANKLIN AVE, NUTLEY, NJ 07110-1247
(973) 661-1900
(973) 661-3658
Mailing address
PO BOX 419430, BOSTON, MA 02241-9430
(201) 967-8221
(201) 483-2242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11059200
NJ
Other
Enumeration date
03/21/2018
Last updated
10/13/2021
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