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Individual

RICHARD WILLIAM SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RNFA

Contact information

Practice address
3 ASTER ST, GLENWOOD, NJ 07418-1908
(973) 764-7881
(973) 764-7881
Mailing address
3 ASTER ST, GLENWOOD, NJ 07418-1908
(973) 764-7881
(973) 764-7881

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO11902800
NJ

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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