Michael S Deshields
Internist - Addiction Medicine
801 New York Ave
Trenton
, New Jersey 08638-3913
Michael S Deshields
Internist - Addiction Medicine
801 New York Ave
Trenton
, New Jersey 08638-3913
(856) 374-6520
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Michael S Deshields
- 20 N Woodbury Turnersville Rd
- Blackwood, NJ
- Zip : 08012-2888
- Fax : (856) 374-6520
- Phone : (856) 374-6740
Second Address
- Michael S Deshields
- 801 New York Ave
- Trenton, NJ
- Zip : 08638-3913
- Phone : (609) 393-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 25MA04362400 | NJ |
National Provider Identifier
| NPI | 1245345743 |
|---|---|
| Provider Name | Michael S Deshields |
| First Address | Blackwood, NJ 08012-2888 |
| Second Address | Trenton, NJ 08638-3913 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 03/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3193608 | (05) | NJ |
| C55883 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.