Shen, Yi-Der J

Shen, Yi-Der J is an individual health care provider with primary practice located at 1 Clara Maass Dr , Belleville NJ 07109-3550. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Shen, Yi-Der J can be contacted via phone (973) 450-2000.

Contact Information

Primary practice address
1 Clara Maass Dr Belleville NJ 07109-3550
Phone: (973) 450-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA02991300 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA02991300 New Jersey

Profile Details

NPI number 1205821030
LBN Legal business name Shen, Yi-Der J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 8th, 2007 - about 17 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 1205821030 NPPES
New Jersey MEDICAID 7896204

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