Timothy Thomas Shack, M.D.

Internal Medicine Physician · Cherry Hill, NJ

Individual Active NPI

NPI number 1821273616

Practice location

27 Covered Bridge Rd
Cherry Hill, NJ 08034-2945
Phone
(856) 429-2224
Fax
(856) 429-1926

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NPI record

NPI
1821273616
Entity type
Individual (Type 1)
Enumeration date
December 31, 2007
Last updated
April 10, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X MD064207L PA

About Dr. Shack

Timothy Thomas Shack, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 27 Covered Bridge Rd, Cherry Hill, NJ 08034-2945. The NPI number 1821273616 was assigned on December 31, 2007 and the record was last updated on April 10, 2012.

Dr. Shack lists a license in the registry: #MD064207L (PA) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Thomas Shack, M.D.?

The NPI number is 1821273616.

What is the phone number of Dr. Shack?

The phone number listed for the practice location is (856) 429-2224.

Where is Dr. Shack located?

27 Covered Bridge Rd, Cherry Hill, NJ 08034-2945.

What is the taxonomy code for Dr. Shack?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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