Edward Charles Shadiack III D.O.

NPI 1326278649 - Family Medicine - 207QB0002X

NPI Details
NPI 1326278649
Gender Male
Enumeration Date 07/21/2009
Last Updated 04/09/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
1 MEDICAL CENTER DR
STRATFORD NJ, 08084-1500, US
Phone (856) 566-6477
Fax
Business Location
1200 NE CENTRAL AVE
SEASIDE PARK NJ, 08752-1306, US
Phone
Fax
Toxanomy
Taxonomy Code 207QB0002X
License State New Jersey
License Number 25MB08998600
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According to our database, Dr. Edward Charles Shadiack III D.O. NPI is 1326278649, taxonomy code is 207QB0002X and license number is 25MB08998600, license state is located at New Jersey. Edward Charles Shadiack III D.O. physically located at 1 Medical Center Dr, Stratford NJ, 08084-1500. NPI Number Edward Charles Shadiack III D.O. has the Individual type.

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1326278649 NPI number is provided on an as is basis without warranty of any kind. 1326278649 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Charles Shadiack III D.O. are for informational purposes only.