Shannon M Khulusi Nurse Practitioner
475 Rt 520, Marlboro, NJ 07746


Shannon M Khulusi is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1932240603. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6507803095. The medical credential is NP. The primary specialty is NURSE PRACTITIONER. The organization is ALLIED DIGESTIVE HEALTH, LLC. The address is 475 Rt 520, Marlboro, NJ 07746. The zip code is 07746.


Shannon M Khulusi · 475 Rt 520, Marlboro, NJ 07746

Nation Provider ID 1932240603
PAC ID by PECOS 6507803095
Professional Enrollment ID I20050415000539
Last Name KHULUSI
First Name SHANNON
Middle Name M
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 2003
Primary Specialty NURSE PRACTITIONER
Primary Specialty ALLIED DIGESTIVE HEALTH, LLC
Phone Number 7323702220
Group Practice PAC ID 5991027583
Number of Group Practice Members 47
Address 475 RT 520
MARLBORO, NJ 07746
Claims Based Hospital Affiliation