Organization
SPECIALTY PHYSICIANS NJ
Active
Organization
SPECIALTY PHYSICIANS NJ
Active
Other names
SPECIALTY PHYSICIANS NJ
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMIL SHAKOV MD (OWNER)
(732) 845-5001
Entity
Organization
Contact information
Practice address
501 IRON BRIDGE RD STE 9, FREEHOLD, NJ 07728-5305
(732) 845-5001
(732) 358-0524
Mailing address
501 IRON BRIDGE RD STE 9, FREEHOLD, NJ 07728-5305
(732) 845-5001
(732) 358-0524
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
09/10/2018
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