Individual
KIMBERLY SHEMANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE C, MARLTON, NJ 08053
(856) 355-7176
(856) 762-1249
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-7176
(856) 762-1249
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA12308000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033808
—
NJ
Enumeration date
03/24/2016
Last updated
12/20/2024
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