Individual provider · Type 1 NPI
Cloyd William Shultz Jr., P.A.
Surgical Physician Assistant · Philadelphia, PA
NPI number
1265532253
Active
Practice location
Va Medical Center, University And Woodland Avenues
Philadelphia, PA 19104
Fax (215) 823-4309
Mailing address
720 Cherry Blossom Ct
Williamstown, NJ 08094-5706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA000120L (PA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1265532253
Cloyd William Shultz Jr., P.A.'s National Provider Identifier is 1265532253, issued on Sep 22, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.