Individual
TATYANA SHKOLNAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1540 HIGHWAY 138, SUITE 105, WALL, NJ 07719-3763
(732) 280-3100
(732) 280-3103
Mailing address
1540 HWY 138, BLDG. 1, SUITE 105, WALL, NJ 07719-3763
(732) 280-3100
(732) 280-3103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06638500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134545429
NPI/CANDLEWOOD PEDIATRICS
NJ
05
—
1157405
—
NJ
01
—
2195492
UNITED HEALTHCARE
NJ
01
—
2200027
FIRST HEALTH
NJ
01
—
2418547001
AMERIHEALTH
NJ
01
—
2695578
GHI
NJ
01
—
2863719
AETNA
NJ
05
—
2K9182
—
NJ
01
—
364531830
1199 MEMBERS CHOICE
NJ
05
—
42777
—
NJ
01
—
58524
825 HEALTH PLAN
NJ
01
—
7028795003
CIGNA
NJ
05
—
8394903
—
NJ
05
—
OC-000003507
—
NJ
01
—
P2576793
OXFORD
NJ
Enumeration date
02/14/2006
Last updated
04/04/2014
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