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Individual

DR. SHANA S SHOULSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24 STELTON RD STE A, PISCATAWAY, NJ 08854-2639
(732) 424-0440
(732) 424-0443
Mailing address
436 CEDAR AVE, HIGHLAND PARK, NJ 08904-2146
(732) 745-5992
(732) 673-0384

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06419500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0072761
NJ
Enumeration date
09/01/2006
Last updated
08/24/2017
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