Individual
DR. ANDREW SHEHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(201) 858-6594
Mailing address
87 MARTIN RD N, BETHPAGE, NY 11714-5119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB11596200
NJ
208D00000X
General Practice Physician
25MB11596200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2020
Last updated
08/21/2022
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