Organization
SUJATHA SHANKAR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJATHA SHANKAR MD (PRESIDENT)
(732) 238-6644
Entity
Organization
Contact information
Practice address
77 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 238-6644
(732) 238-6550
Mailing address
77 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 238-6644
(732) 238-6550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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