Active NPIIndividual provider

Dr. Richard A Shaw, DO

Internal Medicine in Woodbury, New Jersey

NPI Number1467646604
Practice location
190 N Evergreen Ave, Suite 102, Woodbury, NJ 08096-1862
Fax
856-845-9398
Last updated
March 2, 2018

Richard A. Shaw is an Internal Medicine based in Woodbury, NJ. Richard A. Shaw practices in Woodbury, NJ and has the professional credentials of DO. The NPI Number for Richard A. Shaw is 1467646604 and holds a License No. MB09021500 (NJ). The current practice location address for Richard A. Shaw is 190 N Evergreen Ave, Suite 102, Woodbury, NJ 08096-1862 and can be reached out via phone at 856-845-8010 and via fax at 856-845-9398.

Provider Profile Details

NPI Number
1467646604
Provider Name
Richard A. Shaw
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
190 N Evergreen Ave, Suite 102, Woodbury, NJ 08096-1862
Phone Number
856-845-8010
Fax Number
856-845-9398
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2007
Last Update Date
March 2, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
190 N Evergreen Ave
Suite 102
Woodbury, NJ 08096-1862
Zip
08096-1862
Phone Number
856-845-8010
Fax Number
856-845-9398
Woodbury, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
190 N Evergreen Ave
Suite 102
Woodbury, NJ 08096-1862
City
Woodbury
State
NJ
Zip
08096-1862
Phone Number
844-542-2273
Fax Number
856-845-9398

License Information

License Number
MB09021500
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Richard A Shaw, DO?

The NPI number of Dr. Richard A Shaw, DO is 1467646604. It was assigned on August 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Richard A Shaw, DO?

Dr. Richard A Shaw, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MB09021500.

Where does Dr. Richard A Shaw, DO practice?

The practice location is 190 N Evergreen Ave, Suite 102, Woodbury, NJ 08096-1862. The office can be reached at 856-845-8010 (phone) or 856-845-9398 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467646604 directly on the NPPES registry website.

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