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1992384556
SHANE KORAH MATHEW
PISCATAWAY, NJ
NPI
1992384556
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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
2021-04-02
Last Update Date
2021-04-11
Business Address
SHANE KORAH MATHEW MD
675 HOES LN W
PISCATAWAY, NJ 08854-8021
Phone number: 732-828-3000
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Mailing Address
SHANE KORAH MATHEW MD
5301 BUTTERNUT RIDGE DR
INDEPENDENCE, OH 44131-4690
Phone number: 216-225-8270
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