Individual
YASUSHI F SHIBUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 BYBERRY RD STE 1203, HUNTINGDON VALLEY, PA 19006
(215) 517-1100
Mailing address
1235 OLD YORK RD STE 218, ABINGTON, PA 19001-3841
(215) 517-1100
(215) 517-1130
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD044369E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01625268
—
PA
Enumeration date
06/02/2006
Last updated
06/14/2023
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