Individual
RADISLAV SHASTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 NOTTINGHAM WAY, UNION, NJ 07083-7932
(908) 686-3570
(917) 829-2009
Mailing address
355 NOTTINGHAM WAY, UNION, NJ 07083
(908) 686-3570
(917) 829-2009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
O000109-1
NY
Other
Enumeration date
07/11/2008
Last updated
04/26/2017
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