Healthcare Provider Details

I. General information

NPI: 1598731085
Provider Name (Legal Business Name): DANIEL EARL SHUFLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 03/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 NORTH BROADWAY SUITE D
PENNSVILLE NJ
08070
US

IV. Provider business mailing address

48 NORTH BROADWAY SUITE D
PENNSVILLE NJ
08070
US

V. Phone/Fax

Practice location:
  • Phone: 856-678-5252
  • Fax: 856-678-2333
Mailing address:
  • Phone: 856-678-5252
  • Fax: 856-678-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMA045960
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: