Individual
MAOR SHALOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 CHESTNUT ST STE 102, LAKEWOOD, NJ 08701-6124
(732) 987-3855
Mailing address
915 MADISON ST APT 2C, HOBOKEN, NJ 07030-6442
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ15517500
NJ
363LA2100X
Acute Care Nurse Practitioner
433484
NY
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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