Basic Information
| Provider Information | |||||||||
| NPI: | 1841394202 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHULMAN | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | MARC | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 127 W 96TH ST | ||||||||
| Address2: | APT. PHB | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100256427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3473518908 | ||||||||
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| Practice Location | |||||||||
| Address1: | 185 SOUTH ORANGE AVENUE | ||||||||
| Address2: | MSB ROOM E 538-B | ||||||||
| City: | NEWARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739722085 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2006 | ||||||||
| LastUpdateDate: | 03/27/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | 25MA06812600 | NJ | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207LP2900X | 168357 | NY | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207LP2900X | MD433043 | PA | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.