Individual
DR. SHANE ASHMEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 404-9980
(973) 267-7295
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
308239
NY
208600000X
Surgery Physician
LP03771
RI
2086S0129X
Vascular Surgery Physician
Primary
25MA11944200
NJ
Other
Enumeration date
06/09/2016
Last updated
09/22/2023
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