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Individual
MATTHEW A SHANAHAN
Active
Individual
MATTHEW A SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MD484505
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD484505
PA
Other
Enumeration date
06/15/2016
Last updated
08/01/2024
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