Shakarshy, Jack

Shakarshy, Jack is an individual health care provider with primary practice located at 72 W Jimmie Leeds Rd Suite 1100, Galloway NJ 08205-9406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Shakarshy, Jack can be contacted via phone (609) 677-9729.

Contact Information

Primary practice address
72 W Jimmie Leeds Rd Suite 1100 Galloway NJ 08205-9406
Phone: (609) 677-9729
Fax: (609) 652-7153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA05304500 New Jersey

Profile Details

NPI number 1851304299
LBN Legal business name Shakarshy, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851304299 NPPES
New Jersey Other 300081010 RAILROAD MEDICARE
New Jersey MEDICAID 5002907 RAILROAD MEDICARE
New Jersey Other P00847825 RAILROAD MEDICARE
New Jersey Other P00758322 RAILROAD MEDICARE

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