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Individual

DR. MATTHEW SHAHBANDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1515 BROAD ST STE B120, BLOOMFIELD, NJ 07003-3059
(973) 873-7000
(973) 743-8943
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA07649900
NJ
208800000X
Urology Physician
MA76499
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0124890
GHI PPO
NJ
01
1323475
AETNA HMO#
NJ
01
2425466000
AMERIHEALTH#
NJ
01
398325
WELLCARE#
NJ
01
3K4036
HEALTHNET#
NJ
01
7291254
AETNA PPO#
NJ
01
8J4751
EMPIRE BCBS (CLIFTON)
NJ
01
8J4752
EMPIRE BCBS (W. PATERSON)
NJ
01
8J4761
EMPIRE BCBS (WAYNE)
NJ
01
P3011050
OXFORD#
NJ
Enumeration date
04/03/2006
Last updated
03/10/2022
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