Individual
DR. MUKESH JAY SHANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2106 NEW RD, STE E-4, LINWOOD, NJ 08221-1046
(609) 653-1611
(609) 653-9352
Mailing address
PO BOX 1201, ABSECON, NJ 08201-5201
(609) 653-1611
(609) 653-9352
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04670800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116086000
AMERIHEALTH
NJ
01
—
222928205
HORIZON
NJ
01
—
43283
HEALTHCARE AETNA
NJ
Enumeration date
09/13/2005
Last updated
07/16/2010
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