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Individual
ANDREA VITTORIA SHAW
Active
Individual
ANDREA VITTORIA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
281937
NY
207R00000X
Internal Medicine Physician
A124854
CA
208000000X
Pediatrics Physician
281937
NY
208000000X
Pediatrics Physician
A124854
CA
Other
Enumeration date
04/22/2009
Last updated
05/11/2023
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