SHAN SIVENDRA

LIVINGSTON, NJ
NPI1538154307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA06930200)
Additional Taxonomies208D00000X General Practice
(Licence: NJ  25MA06930200)
Enumeration Date2005-09-16
Last Update Date2008-02-22
Business Address
Dr. SHAN SIVENDRA MD
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039-5672
Phone number: 201-322-5000
Mailing Address
Dr. SHAN SIVENDRA MD
66 W GILBERT ST
TINTON FALLS, NJ 07701-4918
Phone number: 732-212-0060