Provider Demographics
NPI:1346264116
Name:SHIFRIN, ALEXANDER L (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:L
Last Name:SHIFRIN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1945 STATE ROUTE 33
Mailing Address - Street 2:DEPT. OF SURGERY, ACKERMAN 4S
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4859
Mailing Address - Country:US
Mailing Address - Phone:732-776-4770
Mailing Address - Fax:732-776-3763
Practice Address - Street 1:1945 STATE ROUTE 33
Practice Address - Street 2:JERSEY SHORE UNIVERSITY MED. CTR, DEPT. OF SURGERY
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4859
Practice Address - Country:US
Practice Address - Phone:732-776-4770
Practice Address - Fax:732-776-3763
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08118800208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
I38097Medicare UPIN
NJ106639UVPMedicare PIN