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Shoshana Bacon, M.D
NPI 1457791428 · on the registry since 2013
Practice
- Address
- 1771 Madison Avenue
Lakewood, NJ 08701 - Phone
- (732) 364-2144
- Fax
- (732) 364-3559
- Organisation at this address
- Teamcare Llc
Select Care Aba
Teamcare Therapy Llc
Select Care Aba Nc Llc
Select Care Aba Ma LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 111
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey