Individual
DR. BERNARD PELLMAN SHAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 2ND AVE, DEPARTMENT OF MEDICINE, LONG BRANCH, NJ 07740-6303
(732) 222-5200
(732) 741-3082
Mailing address
255 3RD AVE, LONG BRANCH, NJ 07740-6214
(732) 222-5200
(732) 741-3082
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MA49925
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387300
—
NJ
Enumeration date
07/18/2006
Last updated
07/21/2022
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