Individual provider · Type 1 NPI

Matthew Shaw

Medical Physician Assistant · Allentown, PA

NPI number 1104362649 Active

Practice location

1250 S Cedar Crest Blvd, Ste 110
Allentown, PA 18103-6224

Fax (610) 402-5656

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA058821 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1104362649

Matthew Shaw's National Provider Identifier is 1104362649, issued on Jan 9, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allentown, PA. The record was last updated on Jan 9, 2017.