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Individual

DR. STEPHEN E. SHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5838
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
0101242420
VA
2080P0206X
Pediatric Gastroenterology Physician
Primary
C1000
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023100872
VA
Enumeration date
09/29/2006
Last updated
09/30/2011
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