KENNETH A SHUSTER OD

Dr KENNETH A SHUSTER OD is a male medical professional, specializing in Optometry. He graduated in 1978 from Pennsylvania College Of Optometry.

Contact

4827 ATLANTIC AVE
VENTNOR CITY
NJ
084063053

Tel: 6094870010

KENNETH A SHUSTER OD Information

Npi 1821074923
Pac Id 1052349958
Professional Enrollment Id I20050802000136
Last Name SHUSTER
First Name KENNETH
Middle Name A
Suffix
Gender M
Credential OD
Medical School Name PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year 1978
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 4827 ATLANTIC AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VENTNOR CITY
State NJ
Zip Code 084063053
Phone Number 6094870010
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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