Basic Information
| Provider Information | |||||||||
| NPI: | 1285767202 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHOJI | ||||||||
| FirstName: | TORU | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 39 ELDERSLIE LN | ||||||||
| Address2: | |||||||||
| City: | WOODBRIDGE | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065251038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2033931730 | ||||||||
| FaxNumber: | 2033931671 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 N PLANDOME RD | ||||||||
| Address2: | |||||||||
| City: | PORT WASHINGTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110503443 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5169443882 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2007 | ||||||||
| LastUpdateDate: | 07/24/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZD0900X | 038366 | CT | Y | Allopathic & Osteopathic Physicians | Pathology | Dermatopathology | 207ZD0900X | 9378 | RI | N | Allopathic & Osteopathic Physicians | Pathology | Dermatopathology | 207ZD0900X | 8430 | HI | N | Allopathic & Osteopathic Physicians | Pathology | Dermatopathology | 207ZD0900X | 208418 | NY | N | Allopathic & Osteopathic Physicians | Pathology | Dermatopathology |
No ID Information.