Individual
DR. SHAUKAT M QURESHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
250 S BROADWAY, PENNSVILLE, NJ 08070-2700
(856) 678-4452
(856) 678-3325
Mailing address
250 S BROADWAY, PENNSVILLE, NJ 08070-2700
(856) 678-4452
(856) 678-3325
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA036255
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2243903
—
NJ
01
—
3753713B
CIGNA
NJ
Enumeration date
07/21/2006
Last updated
05/08/2015
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