Provider Demographics
NPI:1174760326
Name:DENG, SHAOHUA (NP)
Entity type:Individual
Prefix:MS
First Name:SHAOHUA
Middle Name:
Last Name:DENG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:362 N BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1148
Mailing Address - Country:US
Mailing Address - Phone:508-350-2350
Mailing Address - Fax:508-350-2318
Practice Address - Street 1:54 MILLER ST
Practice Address - Street 2:SUITE 300
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4725
Practice Address - Country:US
Practice Address - Phone:617-481-3300
Practice Address - Fax:617-481-3305
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA231739363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner