EVAN T. SHACK

VOORHEES, NJ
NPI1932193166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NJ  25MA07398800)
Enumeration Date2005-09-02
Last Update Date2012-09-27
Business Address
Dr. EVAN T. SHACK MD
100 CARNIE BLVD SUITE B-5
VOORHEES, NJ 08043-4512
Phone number: 856-751-0123
Mailing Address
Dr. EVAN T. SHACK MD
PO BOX 1710 SOUTH JERSEY RADIOLOGY ASSOCIATES, PA
VOORHEES, NJ 08043-7710
Phone number: 856-770-0300
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