Individual
DR. WINSTON WEIDAK SHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 N TYSON AVE, GLENSIDE, PA 19038
(215) 517-7171
Mailing address
715 N TYSON AVE, GLENSIDE, PA 19038-3845
(215) 517-7171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD428525
PA
207RN0300X
Nephrology Physician
Primary
MD428525
PA
Other
Enumeration date
11/02/2006
Last updated
06/21/2018
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