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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