Individual
MISS KRISTINA SUZANNE SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 15TH ST FL 2, HOBOKEN, NJ 07030-3429
(201) 482-9770
Mailing address
1184 5TH AVE, KRAVIS CHILDREN'S HOSPITAL, NEW YORK, NY 10029-6503
(614) 946-1231
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10108000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2013
Last updated
01/16/2019
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