Doctor Name: | SHAUN PATRICK FOLEY |
NPI Number: | 1013316603 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 25MP00344200 |
Business Practice Address: | Two Capital Way Suite # 356 Pennington, NJ - 085342520 |
Business Phone Number: | 6094772049 |
Business Fax Number: | |
Mailing Address: | Two Capital Way, Suite # 356 PENNINGTON |
State: | NJ |
Postal Code: | 085342520 |
Phone Number: | 6094772049 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2014 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 25MP00344200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |