Provider Demographics
NPI:1992822126
Name:CUBER, SHAIN ARNOLD (MD)
Entity type:Individual
Prefix:DR
First Name:SHAIN
Middle Name:ARNOLD
Last Name:CUBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 AMBOY AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-2500
Mailing Address - Country:US
Mailing Address - Phone:732-548-3200
Mailing Address - Fax:732-548-1919
Practice Address - Street 1:1150 AMBOY AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-2500
Practice Address - Country:US
Practice Address - Phone:732-548-3200
Practice Address - Fax:732-548-1919
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05839600208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ786814Medicare ID - Type Unspecified