Whalio Doctors

NPI 1578727251

Radislav Shastun

Practitioner Specialist Union, NJ

Practice location

Address
355 Nottingham Way, Union, NJ 07083-7932
Phone
(908) 686-3570
Fax
(917) 829-2009
Mailing address
355 Nottingham Way, Union, NJ 07083

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence O000109-1 (NY)

Registry record

NPI
1578727251
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jul 2008
Record last updated
26 Apr 2017

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.