Bo Shan, DMD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
1538806773- Practice location
- 110 Bergen St, Newark, NJ 07103-2495
- Phone
- 973-943-9346
- Fax
- —
- Last updated
- May 18, 2022
Bo Shan is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Bo Shan practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Bo Shan is 1538806773. The current practice location address for Bo Shan is 110 Bergen St, Newark, NJ 07103-2495 and can be reached out via phone at 973-943-9346.
Provider Profile Details
- NPI Number
- 1538806773
- Provider Name
- Bo Shan
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 110 Bergen St, Newark, NJ 07103-2495
- Phone Number
- 973-943-9346
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 18, 2022
- Last Update Date
- May 18, 2022
- Certification Date
- May 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Bergen St
Newark, NJ 07103-2495 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2495
- Phone Number
- 973-943-9346
Provider Business Mailing Address Details
- Address
- 407 Cross St
Harrison, NJ 07029-1209 - City
- Harrison
- State
- NJ
- Zip
- 07029-1209
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Newark, NJ
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- Anthony CalabreseStudent in an Organized Health Care Education/Training Program · NPI 1346980778
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Frequently Asked Questions
What is the NPI number of Bo Shan, DMD?
The NPI number of Bo Shan, DMD is 1538806773. It was assigned on May 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Bo Shan, DMD?
Bo Shan, DMD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Bo Shan, DMD practice?
The practice location is 110 Bergen St, Newark, NJ 07103-2495. The office can be reached at 973-943-9346 (phone).
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 1538806773 directly on the NPPES registry website.