Provider Demographics
NPI:1508094970
Name:SHMULEWICH SHALEV, MORAN MAURINE S (MD)
Entity Type:Individual
Prefix:DR
First Name:MORAN MAURINE
Middle Name:S
Last Name:SHMULEWICH SHALEV
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1223 S GEAR AVE STE 52655
Mailing Address - Street 2:
Mailing Address - City:WEST BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52655-1682
Mailing Address - Country:US
Mailing Address - Phone:319-768-2755
Mailing Address - Fax:319-768-2755
Practice Address - Street 1:1223 S GEAR AVE STE 52655
Practice Address - Street 2:
Practice Address - City:WEST BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52655-1682
Practice Address - Country:US
Practice Address - Phone:319-768-2755
Practice Address - Fax:319-768-2755
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2017-12-05
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09521500207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology