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Individual
MARGARET SHANLEY
Active
Individual
MARGARET SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD060708L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025197801
UNIVERA
NY
05
—
0016602110002
—
PA
01
—
01827196
NY MEDICAL ASSISTANCE
NY
01
—
080106402
RR MEDICARE
PA
01
—
0949874
AETNA
PA
01
—
212674
UPMC
—
01
—
217694
UNISON
PA
01
—
2227174
OH MEDICAL ASSISTANCE
OH
01
—
967503
BLUE SHIELD
PA
01
—
P000143
GATEWAY
PA
Enumeration date
06/20/2005
Last updated
11/19/2014
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