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NPI Code Detail

MEDICARE: YALE SHULMAN MD

MEDICARE:   YALE  SHULMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianMA33466NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114946142
Entity Type Code : Individual
Provider Name (Legal Business Name) : YALE SHULMAN MD
Provider Business Mailing Address
First Line : 2255 JOHN F KENNEDY BOULEVARD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304
Country : US
Telephone Number : 201-433-1057
Fax Number : 201-435-2716
Provider Business Practice Location Address
First Line : 2255 JOHN F KENNEDY BOULEVARD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304
Country : US
Telephone Number : 201-433-1057
Fax Number : 201-435-2716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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