Deshaw, Max G
Deshaw, Max G is an individual health care provider with primary practice located at 220 Ridgedale Ave Suite C2, Florham Park NJ 07932-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Deshaw, Max G can be contacted via phone (973) 538-5844.Contact Information
Primary practice address
220 Ridgedale Ave Suite C2
Florham Park NJ 07932-1361
Phone: (973) 538-5844
Fax: (973) 538-3650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MA64037 | New Jersey |
Profile Details
| NPI number | 1508808940 |
|---|---|
| LBN Legal business name | Deshaw, Max G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Feb 6th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508808940 | NPPES |
| New Jersey | MEDICAID | 7326203 |
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