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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHOSHANA BACON, M.D.

Active

MRS. SHOSHANA BACON, M.D. is a Internal Medicine healthcare provider located in LAKEWOOD, New Jersey. NPI 1457791428 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LAKEWOOD, NJ

Registration Details

NPI Number
1457791428
Provider Type
Individual
Gender
Female
NPI Issued
Jul 5, 2013 (13.114695887194 yrs)
Last Updated
Jun 5, 2018
License
25MA09955000 (NJ)

Practice Information

Address
1771 MADISON AVENUE
LAKEWOOD, NJ, 08701
Browse NJ providers · Browse ZIP 08701
Phone
7323642144
Fax
7323643559
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in LAKEWOOD, NJ

Name Credential NPI
DR. JEFFREY SCOTT KAMINETZKY X M.D. 1598760787
DANIELA J BALDI MD 1245235399
LESLIE RICHARD CAUVIN DO 1669478483
JOSEPH C MORELOS D.O. 1861498693
HEATHER LEIGH ROBBERSON MD 1902802739
HARISH CHANDER MD 1972595163
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.