Individual
MR. EVGENY SHELKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Mailing address
7002 KENNEDY BLVD E APT 21F, GUTTENBERG, NJ 07093-4920
(973) 339-7013
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
1759
NJ
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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