Individual
SHAWN BAUSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1240 S CEDAR CREST BLVD, SUITE 308, ALLENTOWN, PA 18103-6369
(610) 402-1350
(610) 402-1356
Mailing address
1605 N CEDAR CREST BLVD, STE 411, ALLENTOWN, PA 18104-2323
(610) 969-1914
(610) 969-3951
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA015838
PA
363AS0400X
Surgical Physician Assistant
Primary
MA051838
PA
Other
Enumeration date
08/30/2006
Last updated
04/17/2020
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