Individual
RANDY SHAFRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PATERSON ST, SUITE 4100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7816
(732) 235-8538
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA06390700
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA06390700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7595808
—
NJ
01
—
770002126
RR MCR PTAN
NJ
Enumeration date
02/17/2006
Last updated
04/09/2024
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