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Individual

STUART D. SHOENGOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 MILLBURN AVE, SUITE 304, MILLBURN, NJ 07041-1737
(973) 218-9400
(973) 218-9420
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA03340400
NJ
208800000X
Urology Physician
MA033404
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740202
NJ
01
DA5346
RAILROAD MEDICARE
NJ
Enumeration date
07/30/2006
Last updated
03/10/2022
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