Individual
DR. SANDHYA SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1640 ROUTE 88 STE 202, BRICK, NJ 08724
(732) 485-8300
Mailing address
1640 ROUTE 88 STE 202, BRICK, NJ 08724-3068
(732) 485-8300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA0930300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526924
—
NJ
Enumeration date
08/17/2009
Last updated
12/14/2018
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