Healthcare Provider Details

I. General information

NPI: 1417907528
Provider Name (Legal Business Name): ASHGAN ELSHINAWY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 RESEARCH WAY STE 302
MONROE NJ
08831-6823
US

IV. Provider business mailing address

419 N HARRISON ST
PRINCETON NJ
08540-3594
US

V. Phone/Fax

Practice location:
  • Phone: 609-924-9300
  • Fax: 609-430-9481
Mailing address:
  • Phone: 609-924-9300
  • Fax: 609-430-9481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMA79149
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: