SHANDEL S DOUGLAS

THE HEART CENTER OF THE ORANGES

Dr SHANDEL S DOUGLAS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

THE HEART CENTER OF THE ORANGES

310 CENTRAL AVE
SUITE 102
EAST ORANGE
NJ
070182838

Tel: 9733951550

SHANDEL S DOUGLAS Information

Npi 1649798455
Pac Id 7012273790
Professional Enrollment Id I20171113003306
Last Name DOUGLAS
First Name SHANDEL
Middle Name S
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE HEART CENTER OF THE ORANGES
Group Practice Pac Id 7517950645
Number Of Group Practice Members 22
Line 1 Street Address 310 CENTRAL AVE
Line 2 Street Address SUITE 102
Marker Of Address Line 2 Suppression
City EAST ORANGE
State NJ
Zip Code 070182838
Phone Number 9733951550
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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