MEDICARE: SHOSHANNAH POLLACK 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
1	207N00000X	Dermatology Physician	63147	NJ

General Provider Information

NPI Number	:	1306800156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOSHANNAH POLLACK MD

Provider Business Mailing Address
First Line	:	1777 HAMBURG TPKE
Second Line	:	STE 206
City	:	WAYNE
State	:	NJ
Zip	:	07470-5243
Country	:	US
Telephone Number	:	973-835-1823
Fax Number	:	973-831-7585

Provider Business Practice Location Address
First Line	:	1777 HAMBURG TPKE
Second Line	:	STE 206
City	:	WAYNE
State	:	NJ
Zip	:	07470-5243
Country	:	US
Telephone Number	:	973-835-1823
Fax Number	:	973-831-7585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	03/04/2019

Similar Medicare Providers

1023946670 — TITAN HEALTH PARTNERS LLC
Practice Location Address:

1777 HAMBURG TPKE STE 100
WAYNE, NJ
07470-5243

Practice Phone: 973-616-8400
Practice Fax:

1497756589 — LISA DEBORAH STEVENS MD
Practice Location Address:

1777 HAMBURG TURNPIKE , SUITE 305
WAYNE, NJ
07470-5243

Practice Phone: 973-839-6400
Practice Fax: 973-839-7083

1063673408 — DR. ADRIAN WILLIAM JACHENS MD
Practice Location Address:

1777 HAMBURG TPKE STE 101
WAYNE, NJ
07470-5243

Practice Phone: 973-295-5200
Practice Fax: 973-295-5300

1275764623 — MRS. BETSY PENDEXTER R.N., A.P.N.
Practice Location Address:

1777 HAMBURG TPKE STE 205
WAYNE, NJ
07470-5243

Practice Phone: 973-248-1440
Practice Fax:

1629395629 — EUGENE DANIEL FESTA M.D., PH.D
Practice Location Address:

1777 HAMBURG TPKE STE 304
WAYNE, NJ
07470-5243

Practice Phone: 973-444-4558
Practice Fax: 973-444-7466

1114456944 — SYNERGY FITNESS AND WELLNESS LLC
Practice Location Address:

1777 HAMBURG TPKE STE 303
WAYNE, NJ
07470-5243

Practice Phone: 973-339-9787
Practice Fax:

Directions to “ SHOSHANNAH POLLACK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.