Individual
DR. SCOTT R SHREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
226 MIDDLE RD, SUITE 7, HAZLET, NJ 07730-1945
(732) 264-3668
Mailing address
226 MIDDLE RD STE 7, HAZLET, NJ 07730-1946
(732) 264-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00302900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0436780
—
NJ
01
—
6460460001
MEDICARE DME PTAN
NJ
Enumeration date
02/23/2009
Last updated
03/07/2024
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