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Michael S Deshields, MD
Public Health or Welfare Agency in Trenton, New Jersey
NPI 1245345743

Michael S Deshields is a Public Health or Welfare Agency based in Blackwood, NJ. Michael S Deshields practices in Trenton, NJ and has the professional credentials of MD. The NPI Number for Michael S Deshields is 1245345743 and holds a License No. 25MA04362400 (New Jersey).

The current practice location address for Michael S Deshields is 801 New York Ave, Trenton, NJ and can be reached out via phone at 609-393-8000.

Location: 801 New York Ave, Trenton, NJ, 08012-2888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245345743
Provider Name
Michael S Deshields
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
801 New York Ave, Trenton, NJ, 08012-2888
Phone Number
609-393-8000
Fax Number
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3193608 05 NJ
institution
Provider Business Practice Location Address Details
Address
801 New York Ave
City
Trenton
State
New Jersey
Zip
08638-3913
Phone Number
609-393-8000
Fax Number
person
Provider Business Mailing Address Details
Address
801 New York Ave
City
Trenton
State
New Jersey
Zip
08638-3913
Phone Number
609-393-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
25MA04362400 (New Jersey)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
25MA04362400 (New Jersey)
Definition
Definition to come...
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