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1144889635
ADAM BENNETT SHALEK
LONG BRANCH, NJ
NPI
1144889635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
ADAM BENNETT SHALEK DO
300 2ND AVE
LONG BRANCH, NJ 07740-6303
Phone number: 732-222-5200
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Mailing Address
ADAM BENNETT SHALEK DO
2711 NE 57TH ST
FORT LAUDERDALE, FL 33308-2719
Phone number: 954-296-5074
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