Individual
MR. SHAUN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
81 VERONICA AVE, SUITE 203, SOMERSET, NJ 08873-3491
(917) 596-4004
Mailing address
43 WESTMOUNT DR, LIVINGSTON, NJ 07039-4230
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00581600
NJ
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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