Individual
EDWARD SHLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036125891
IL
208600000X
Surgery Physician
167874
NY
2086S0120X
Pediatric Surgery Physician
Primary
036125891
IL
2086S0120X
Pediatric Surgery Physician
167874
NY
2086S0120X
Pediatric Surgery Physician
25MA08677000
NJ
2086S0120X
Pediatric Surgery Physician
ME113029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01440844
—
NY
Enumeration date
07/30/2006
Last updated
01/14/2025
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