Individual
DR. MINA SHAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
38 SUMMIT AVE, HACKENSACK, NJ 07601
(201) 343-6360
Mailing address
155 POLIFLY RD, STE 301, HACKENSACK, NJ 07601-1749
(201) 343-6360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10249900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
02/10/2021
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