Provider Demographics
NPI:1992250765
Name:SHAIR, ALAN DANIEL (PHD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:DANIEL
Last Name:SHAIR
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 1:91 E SOMERSET ST
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-2129
Mailing Address - Country:US
Mailing Address - Phone:908-448-2772
Mailing Address - Fax:732-675-5106
Practice Address - Street 1:91 E SOMERSET ST
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-2129
Practice Address - Country:US
Practice Address - Phone:908-448-2772
Practice Address - Fax:732-675-5106
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No175L00000XOther Service ProvidersHomeopath