Individual provider · Type 1 NPI

Evan T. Shack, MD

Diagnostic Radiology Physician · Voorhees, NJ

NPI number 1932193166 Active

Practice location

100 Carnie Blvd, Suite B-5
Voorhees, NJ 08043-4512

Call (856) 751-0123 Map

Fax (856) 751-0535

Mailing address

PO Box 1710, South Jersey Radiology Associates, Pa
Voorhees, NJ 08043-7710

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X25MA07398800 (NJ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1932193166

Evan T. Shack, MD's National Provider Identifier is 1932193166, issued on Sep 2, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Voorhees, NJ. The record was last updated on Sep 27, 2012.