| Shaker Medical Group-hospitalists Llc | |
|
155 Polifly Rd Ste 301 Hackensack NJ 07601-1749 | |
| (201) 343-6360 | |
| Not Available |
| Full Name | Shaker Medical Group-hospitalists Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 155 Polifly Rd Ste 301, Hackensack, New Jersey |
| Authorized Official Name and Position | David S Shaker (OWNER) |
| Authorized Official Contact | 2013436360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaker Medical Group-hospitalists Llc 155 Polifly Rd Ste 301 Hackensack NJ 07601-1749 Ph: (201) 343-6360 | Shaker Medical Group-hospitalists Llc 155 Polifly Rd Ste 301 Hackensack NJ 07601-1749 Ph: (201) 343-6360 |
| NPI Number | 1760080196 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760080196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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