Ma, Shu-Shan

Ma, Shu-Shan is an individual health care provider with primary practice located at 1650 Grand Concourse , Bronx NY 10457-7606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ma, Shu-Shan can be contacted via phone (718) 518-5152.

Contact Information

Primary practice address
1650 Grand Concourse Bronx NY 10457-7606
Phone: (718) 518-5152
Fax: (718) 716-8242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 190754 New York

Profile Details

NPI number 1831299361
LBN Legal business name Ma, Shu-Shan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Sep 22nd, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831299361 NPPES
New York MEDICAID 02061672

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