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NPI Code Detail

MEDICARE: DR. JOHN ZACHARY SHUMKO M.D.

MEDICARE: DR. JOHN ZACHARY SHUMKO M.D.
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
1208100000XPhysical Medicine & Rehabilitation PhysicianMA60908NJ
22084N0008XNeuromuscular Medicine (Psychiatry & Neurology) Physician25MA06090800NJ

General Provider Information

NPI Number : 1295739571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ZACHARY SHUMKO M.D.
Provider Business Mailing Address
First Line : 40 MAIN ST
Second Line :
City : CHATHAM
State : NJ
Zip : 07928-2431
Country : US
Telephone Number : 973-635-0800
Fax Number : 973-635-3137
Provider Business Practice Location Address
First Line : 40 MAIN ST
Second Line :
City : CHATHAM
State : NJ
Zip : 07928-2431
Country : US
Telephone Number : 973-635-0800
Fax Number : 973-635-3137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 09/25/2023

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