Individual provider · Type 1 NPI

Dennis Shaw, PA-C

Medical Physician Assistant · Newark, DE

NPI number 1760791875 Active

Practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-0001

Call (302) 733-5380 Map

Fax (302) 733-5342

Mailing address

6 Alfred Ave
Wilmington, DE 19805-2028

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC5-0000730 (DE)

Medical Physician Assistant: Definition to come...

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About NPI 1760791875

Dennis Shaw, PA-C's National Provider Identifier is 1760791875, issued on Oct 7, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, DE. The record was last updated on Oct 7, 2010.