Michael S Deshields in Blackwood - Addiction Medicine
Michael S Deshields - NPI 1245345743
Michael S Deshields is a Addiction Medicine in Blackwood, New Jersey. Michael S Deshields practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Michael S Deshields is 1245345743. The last update date is 2019-07-03.
Michael S Deshields's current location address is 20 N Woodbury Turnersville Rd, Blackwood, New Jersey. You can contact this provider via phone number 8563746740 and fax number 8563746520. The mailing address for Michael S Deshields is 20 N Woodbury Turnersville Rd, Blackwood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael S Deshields |
|---|---|
| Address | 20 N Woodbury Turnersville Rd, Blackwood, New Jersey |
| Phone Number | 8563746740 |
| Fax Number | 8563746520 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245345743 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2019-07-03 |
Provider Mailing Address Detail
| Address | 20 N Woodbury Turnersville Rd |
|---|---|
| City | Blackwood |
| State | New Jersey (NJ) |
| Post Code | 80122888 |
| Phone Number | 8563746740 |
| Fax Number | 8563746520 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 25MA04362400 |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3193608 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael S Deshields by the Centers for Medicare & Medicaid Services?
The Michael S Deshields has been issued the NPI (National Provider Identifier) 1245345743 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael S Deshields is located?
The Michael S Deshields is situated at the following address: 20 N Woodbury Turnersville Rd, Blackwood, NJ, 80122888.
What is Michael S Deshields's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael S Deshields's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245345743 to Michael S Deshields?
The Centers for Medicare & Medicaid Services assigned the 1245345743 to Michael S Deshields on 2006-08-21.
When was the information related to Michael S Deshields most recently updated or refreshed?
The details pertaining to the Michael S Deshields, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-07-03.
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