Individual
ALAN MARC SHAIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631 GRAND ST, JERSEY CITY RADIATION ONCOLOGY, JERSEY CITY, NJ 07304-3451
(201) 942-3999
(201) 942-3998
Mailing address
111 YANTACAW BROOK RD, MONTCLAIR, NJ 07043-2524
(201) 942-3999
(201) 942-3998
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
25MA04012200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1289403
—
NJ
Enumeration date
10/11/2006
Last updated
06/25/2015
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