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Individual
DR. SHANE ASHMEADE
Active
Individual
DR. SHANE ASHMEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
308239
NY
208600000X
Surgery Physician
LP03771
RI
2086S0129X
Vascular Surgery Physician
Primary
25MA11944200
NJ
Other
Enumeration date
06/09/2016
Last updated
09/22/2023
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