Individual
DR. PETER WILSON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 627-1669
Mailing address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 627-1669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233647
MA
207RC0000X
Cardiovascular Disease Physician
Primary
19673
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3117935
—
NH
Enumeration date
04/29/2008
Last updated
09/04/2024
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