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General NPI Number Information
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NPI Number | 1285767202
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Entity Type | Individual
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Provider Name | TORU SHOJI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 2 N PLANDOME RD
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3443
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Country | US
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Telephone | 516-944-3882
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Fax |
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Provider Business Mailing Address
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Address Line | 39 ELDERSLIE LN
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City | WOODBRIDGE
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State | CT
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Zip | 06525-1038
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Country | US
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Telephone | 203-393-1730
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Fax | 203-393-1671
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 038366
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 9378
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 8430
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 208418
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License Number State | NY
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