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Individual
DR. STEPHEN G SHAW
Active
Individual
DR. STEPHEN G SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
233206
NY
207R00000X
Internal Medicine Physician
Primary
140998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02709722
—
NY
01
—
204117100
PHCS
NY
01
—
9431055
CIGNA
NY
01
—
EMPIRE BCBS
184SE1
NY
Enumeration date
12/06/2005
Last updated
02/25/2019
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