Imaizumi, Shotaro
Imaizumi, Shotaro is an individual health care provider with primary practice located at 100 E Lancaster Ave , Wynnewood PA 19096-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Imaizumi, Shotaro can be contacted via phone (610) 645-2613.Contact Information
Primary practice address
100 E Lancaster Ave
Wynnewood PA 19096-3450
Phone: (610) 645-2613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD026155E | Pennsylvania |
Profile Details
| NPI number | 1114906302 |
|---|---|
| LBN Legal business name | Imaizumi, Shotaro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months 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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