Organization
DAVID SHAKER DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHAKER DO (OWNER)
(201) 343-6360
Entity
Organization
Contact information
Practice address
38 SUMMIT AVE, HACKENSACK, NJ 07601-1263
(201) 343-6360
Mailing address
38 SUMMIT AVE, HACKENSACK, NJ 07601-1263
(201) 343-6360
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25BM10243200
NJ
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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