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Contact Information

NICOLE M SHAHIN, PA-C
4247 ROUTE 9 NORTH
BUILDING #1
FREEHOLD TOWNSHIP, NJ07728
 Phone: 732-780-7650
 Fax: 732-780-8817
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE M SHAHIN · (Female)

NPI Number 1356478135
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/27/2007
Last updated 06/30/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00152400
  • NY License # 010810-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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