Shade, Mary J

Shade, Mary J is an individual health care provider with primary practice located at 99 Beauvoir Ave , Summit NJ 07901-3533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shade, Mary J can be contacted via phone (973) 903-5538.

Contact Information

Primary practice address
99 Beauvoir Ave Summit NJ 07901-3533
Phone: (973) 903-5538
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00933800 New Jersey

Profile Details

NPI number 1760042899
LBN Legal business name Shade, Mary J
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2019
Last updated Jul 11th, 2019 - about 6 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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