MEDICARE: DR. AHMET SELCUK CAN 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	25MA09164300	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1518214626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMET SELCUK CAN M.D.

Provider Business Mailing Address
First Line	:	2408 INVERNESS DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-6314
Country	:	US
Telephone Number	:	732-341-9965
Fax Number	:	732-341-9588

Provider Business Practice Location Address
First Line	:	40 BEY LEA ROAD
Second Line	:	BLDG B SUITE B202
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2989
Country	:	US
Telephone Number	:	732-341-9965
Fax Number	:	732-341-9588

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

Provider Enumeration Date	:	08/08/2012
Last Update Date	:	10/25/2023

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