Individual
SHANNON RASMUSSEN DUESCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW # 7PHC, WASHINGTON, DC 20007-2113
(202) 444-4972
(202) 444-7333
Mailing address
680 KINDERKAMACK RD STE 300, ORADELL, NJ 07649-1600
(201) 342-2550
(201) 342-7171
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00349500
LICIENSE
NJ
Enumeration date
10/17/2014
Last updated
07/09/2019
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