Provider Demographics
NPI:1083682330
Name:SHUSTERMAN, NEIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:SHUSTERMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 S BRANCH RD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-8207
Mailing Address - Country:US
Mailing Address - Phone:908-371-1700
Mailing Address - Fax:908-371-9231
Practice Address - Street 1:378 S BRANCH RD
Practice Address - Street 2:SUITE 404
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-8207
Practice Address - Country:US
Practice Address - Phone:908-371-1700
Practice Address - Fax:908-371-9231
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI20431122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist