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NPI Code Detail

MEDICARE: YANGYU SHIH MD

MEDICARE: YANGYU SHIH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician25MA05852800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396722427
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANGYU SHIH MD
Provider Business Mailing Address
First Line : PO BOX 51045
Second Line :
City : NEWARK
State : NJ
Zip : 07101-5145
Country : US
Telephone Number : 201-945-2481
Fax Number : 201-943-8105
Provider Business Practice Location Address
First Line : 176 PALISADE AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-1121
Country : US
Telephone Number : 201-945-2481
Fax Number : 201-943-8105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 07/09/2007

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Directions to “ YANGYU SHIH MD” Practice Location

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