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Organization

SHALOM PARK PROFESSIONAL SERVICES LLC

Active
Parent organization
BETH ISRAEL FOUNDATION FOR THE AGED
Organization subpart
Yes

Provider details

NPI number
Legal business name
BETH ISRAEL FOUNDATION FOR THE AGED
Authorized official
DAN STENERSEN (CEO)
(303) 680-5000
Entity
Organization

Contact information

Practice address
14800 E BELLEVIEW DRIVE, AURORA, CO 80015-2258
(303) 680-5000
(303) 699-4300
Mailing address
14800 E BELLEVIEW DRIVE, AURORA, CO 80015-2258
(303) 680-5000
(303) 699-4300

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1565633
CO

Other

Enumeration date
04/22/2008
Last updated
03/18/2009
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