Jack M Shields in Bridgeton - Internal Medicine
Jack M Shields - NPI 1730119934
Jack M Shields is a Internal Medicine in Bridgeton, New Jersey. Jack M Shields practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jack M Shields is 1730119934. The last update date is 2007-07-08.
Jack M Shields's current location address is 20 Magnolia Ave, Bridgeton, New Jersey. You can contact this provider via phone number 8564558833 and fax number 8564538358. The mailing address for Jack M Shields is 20 Magnolia Ave, Bridgeton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack M Shields |
|---|---|
| Address | 20 Magnolia Ave, Bridgeton, New Jersey |
| Phone Number | 8564558833 |
| Fax Number | 8564538358 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730119934 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 Magnolia Ave |
|---|---|
| City | Bridgeton |
| State | New Jersey (NJ) |
| Post Code | 83021759 |
| Phone Number | 8564558833 |
| Fax Number | 8564538358 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MA35038 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3019501 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack M Shields by the Centers for Medicare & Medicaid Services?
The Jack M Shields has been assigned the NPI (National Provider Identifier) 1730119934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jack M Shields's facilities are situated?
The facilities of Jack M Shields are physically located at the following address: 20 Magnolia Ave, Bridgeton, NJ, 83021759.
What is Jack M Shields's area of expertise and its corresponding taxonomy classification?
The Jack M Shields's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730119934 to Jack M Shields?
The Centers for Medicare & Medicaid Services originally issued the 1730119934 to Jack M Shields on 2006-07-03.
When was the information regarding Jack M Shields, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jack M Shields, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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