MEDICARE: CHRISTINE SHU 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
1	207R00000X	Internal Medicine Physician	25MA12815100	NJ
2	208000000X	Pediatrics Physician	25MA12815100	NJ

General Provider Information

NPI Number	:	1457935447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE SHU MD

Provider Business Mailing Address
First Line	:	196 JACK MARTIN BLVD STE A2
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-7769
Country	:	US
Telephone Number	:	732-458-4045
Fax Number	:

Provider Business Practice Location Address
First Line	:	196 JACK MARTIN BLVD STE A2
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-7769
Country	:	US
Telephone Number	:	732-458-4045
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2021
Last Update Date	:	04/06/2026

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Directions to “ CHRISTINE SHU MD” Practice Location

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