Deshaw, Max G

Deshaw, Max G is an individual health care provider with primary practice located at 220 Ridgedale Ave Suite C2, Florham Park NJ 07932-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Deshaw, Max G can be contacted via phone (973) 538-5844.

Contact Information

Primary practice address
220 Ridgedale Ave Suite C2 Florham Park NJ 07932-1361
Fax: (973) 538-3650
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MA64037 New Jersey

Profile Details

NPI number 1508808940
LBN Legal business name Deshaw, Max G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Feb 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508808940 NPPES
New Jersey MEDICAID 7326203

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