Individual
SHAWN SOLOVEYCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2549
(732) 431-2000
Mailing address
19 QUEBEC RD, MARLBORO, NJ 07746-1656
(732) 320-3799
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA02100600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA02100600
NEW JERSEY BOARD OF PHYSICAL THERAPY EXAMINERS
NJ
Enumeration date
08/03/2022
Last updated
08/03/2022
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