Provider Demographics
NPI:1942299516
Name:SHENG, HUAIBAO (MD)
Entity Type:Individual
Prefix:DR
First Name:HUAIBAO
Middle Name:
Last Name:SHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11025 RCA CENTER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4269
Mailing Address - Country:US
Mailing Address - Phone:561-383-3820
Mailing Address - Fax:855-369-2450
Practice Address - Street 1:246 INDUSTRIAL WAY W
Practice Address - Street 2:SUITE 2
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-4240
Practice Address - Country:US
Practice Address - Phone:732-389-5200
Practice Address - Fax:732-389-5299
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07695000207ZP0102X
NY2270058207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology