Provider Demographics
NPI:1790028413
Name:HE, ALBERT SHU (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:SHU
Last Name:HE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LIVINGSTON AVE UNIT 705
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1995
Mailing Address - Country:US
Mailing Address - Phone:832-419-8898
Mailing Address - Fax:
Practice Address - Street 1:20 LIVINGSTON AVE UNIT 705
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1995
Practice Address - Country:US
Practice Address - Phone:832-419-8898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101253579207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services