Whalio Doctors

NPI 1811202633

Rabie M Shanti, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Newark, NJ

Practice location

Address
110 Bergen St Rm B-854, Newark, NJ 07103-2495
Phone
(739) 972-3126
Fax
(973) 972-7322

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 22DI02438500 (NJ)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence MD458380 (PA)
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence MD458380 (PA)
Sleep Medicine (Otolaryngology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207YS0012X Licence MD458380 (PA)

Registry record

NPI
1811202633
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Aug 2010
Record last updated
4 Aug 2022

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.