NPI 1104297985

Shoshana Komendant

Practitioner Physician Assistant Lakewood, NJ

Practice location

Address: 1352 River Ave, Lakewood, NJ 08701-5646
Phone: (732) 370-5100

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00377500 (NJ)

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Registry record

NPI: 1104297985
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2015
Record last updated: 19 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.