Provider Demographics
NPI:1164616876
Name:TAMASHAUSKY, SHAUN R (DO)
Entity Type:Individual
Prefix:
First Name:SHAUN
Middle Name:R
Last Name:TAMASHAUSKY
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 162
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1500
Mailing Address - Country:US
Mailing Address - Phone:856-566-7121
Mailing Address - Fax:856-566-6222
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 162
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1500
Practice Address - Country:US
Practice Address - Phone:856-566-7121
Practice Address - Fax:856-566-6222
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ207P00000X207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine