Individual provider · Type 1 NPI

Baohong Shan, PA

Surgical Physician Assistant · Poughkeepsie, NY

NPI number 1487674537 Active

Practice location

45 Reade Pl
Poughkeepsie, NY 12601-3947

Fax (845) 483-6108

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X005994 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1487674537

Baohong Shan, PA's National Provider Identifier is 1487674537, issued on Jul 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Poughkeepsie, NY. The record was last updated on Jul 8, 2007.