Provider Demographics
NPI:1619096823
Name:SHULMAN, MARTIN DAVID (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:DAVID
Last Name:SHULMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BERNARD RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1306
Mailing Address - Country:US
Mailing Address - Phone:732-247-0973
Mailing Address - Fax:732-247-3254
Practice Address - Street 1:203 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8270
Practice Address - Country:US
Practice Address - Phone:732-536-2292
Practice Address - Fax:732-247-3254
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYS000001235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist