Organization
JOHN SHAO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SHAO MD (PRESIDENT)
(917) 597-9954
Entity
Organization
Contact information
Practice address
718 HUDSON PARK, EDGEWATER, NJ 07020-1498
(917) 597-9954
Mailing address
718 HUDSON PARK, EDGEWATER, NJ 07020-1498
(917) 597-9954
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08417900
NJ
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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