Individual
DR. JYOTHSNA S SHASTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1430 HOOPER AVE, STE 200 B, TOMS RIVER, NJ 08753-2895
(732) 557-0700
(732) 557-9159
Mailing address
66 GREEN MEADOW BLVD, MIDDLETOWN, NJ 07748-3148
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
2503543900
NJ
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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