Shaw, Richard A.
Shaw, Richard A. is an individual health care provider with primary practice located at 190 N Evergreen Ave Suite 102, Woodbury NJ 08096-1862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shaw, Richard A. can be contacted via phone (856) 845-8010.Contact Information
Primary practice address
190 N Evergreen Ave Suite 102
Woodbury NJ 08096-1862
Phone: (856) 845-8010
Fax: (856) 845-9398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MB09021500 | New Jersey |
Profile Details
| NPI number | 1467646604 |
|---|---|
| LBN Legal business name | Shaw, Richard A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Mar 2nd, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467646604 | NPPES |
| New Jersey | MEDICAID | 0356042 |
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