Individual
TIMOTHY FANGFAN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, CRNA
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7827
Mailing address
125 PATERSON STREET, 3RD FLOOR, SUITE 3100, NEW BRUNSWICK, NJ 08901
(732) 235-7827
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00869200
NJ
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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