Provider Demographics
NPI:1255304028
Name:SHEN, CALVIN T (MD)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:T
Last Name:SHEN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:95 MADISON AVE
Mailing Address - Street 2:STE A 06
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6092
Mailing Address - Country:US
Mailing Address - Phone:973-605-8040
Mailing Address - Fax:973-605-8085
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5488
Practice Address - Fax:973-605-8085
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2008-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA0546532080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine