Shagan, Bernard Pellman

Shagan, Bernard Pellman is an sole proprietor health care provider with primary practice located at 300 2Nd Ave Department Of Medicine, Long Branch NJ 07740-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Shagan, Bernard Pellman can be contacted via phone (732) 222-5200.

Contact Information

Primary practice address
300 2Nd Ave Department Of Medicine Long Branch NJ 07740-6303
Phone: (732) 222-5200
Fax: (732) 741-3082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MA49925 New Jersey

Profile Details

NPI number 1912925769
LBN Legal business name Shagan, Bernard Pellman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912925769 NPPES
New Jersey MEDICAID 2387300

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