PRATIK A SHUKLA

NEWARK, NJ
NPI1457614141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NJ  25MA10336900)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MT202262)
Enumeration Date2012-06-19
Last Update Date2019-03-27
Business Address
Dr. PRATIK A SHUKLA M.D.
150 BERGEN ST # STREETC
NEWARK, NJ 07103
Phone number: 973-972-5188
Mailing Address
Dr. PRATIK A SHUKLA M.D.
30 BERGEN STREET BUILDING 12 ROOM 1205
NEWARK, NJ 07107-3000
Phone number: