Individual
SHANE P COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2106 NEW RD, SUITE D4, LINWOOD, NJ 08221-1046
(609) 926-8899
(609) 926-6474
Mailing address
2106 NEW RD, SUITE D4, LINWOOD, NJ 08221-1046
(609) 926-8899
(609) 926-6474
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00315500
NJ
Other
Enumeration date
08/12/2013
Last updated
06/29/2023
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