Individual
DR. PHYLLIS SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 GAITHER DR, MOUNT LAUREL, NJ 08054-1715
(856) 722-7000
(856) 829-0580
Mailing address
700 US RT 130 N, SUITE 203, CINNAMINSON, NJ 08077
(856) 829-9345
(856) 829-0580
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA03821300
NJ
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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