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Radislav Shastun

NPI 1578727251 · on the registry since 2008

Practice

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

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-26

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