Individual
DR. JACQUELYN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
214 TERRACE AVENUE, HASBROUCK HEIGHTS, NJ 07604
(201) 288-6330
(201) 288-6331
Mailing address
214 TERRACE AVENUE, HASBROUCK HEIGHTS, NJ 07604
(201) 288-6330
(201) 288-6331
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
MA55112
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528267
CIGNA
NJ
01
—
2043630
UNITED HEALTHCARE
NJ
01
—
2749N1
WELLCHOICE
NJ
01
—
5180001
AETNA
NJ
01
—
74437
GREAT WEST
NJ
01
—
820584930
HORIZON BC BS OF NJ
NJ
01
—
8217906
GHI
NJ
01
—
J30559
HEALTHNET
NJ
01
—
P2884936
OXFORD
NJ
Enumeration date
09/21/2006
Last updated
02/23/2022
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