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NPI Code Detail

MEDICARE: SARA F SHOSHANA

MEDICARE:   SARA F SHOSHANA
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
1363LF0000XFamily Nurse PractitionerF12240306NJ

General Provider Information

NPI Number : 1558178939
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA F SHOSHANA
Provider Business Mailing Address
First Line : 1500 TEANECK RD APT 419
Second Line :
City : TEANECK
State : NJ
Zip : 07666-3659
Country : US
Telephone Number : 973-767-9883
Fax Number :
Provider Business Practice Location Address
First Line : 1500 TEANECK RD APT 419
Second Line :
City : TEANECK
State : NJ
Zip : 07666-3659
Country : US
Telephone Number : 973-767-9883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2024
Last Update Date : 03/05/2026

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Directions to “ SARA F SHOSHANA ” Practice Location

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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.