Individual
DR. SHANKER MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 COMMUNITY DR, EASTON, PA 18045-2658
(610) 258-6635
(610) 258-2879
Mailing address
20 COMMUNITY DR, EASTON, PA 18045-2658
(610) 258-6635
(610) 258-2879
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA05151400
NJ
174400000X
Specialist
MD043637E
PA
207RG0100X
Gastroenterology Physician
Primary
MD043637E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001176706
—
PA
01
—
01075001
CAPITAL BC PROVIDER #
PA
05
—
1190008
—
NJ
01
—
130971
MEDPLUS PROVIDER #
PA
01
—
20008608
AMERIHEALTH MERCY PROV #
PA
01
—
5555683
CIGNA PROVIDER #
PA
01
—
723788
HIGHMARK BS PROVIDER #
PA
01
—
P2540329
OXFORD PROVIDER #
PA
Enumeration date
01/11/2006
Last updated
01/24/2019
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