Individual
MR. GEORGE F SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
67 OAKWOOD ST, ENFIELD, CT 06082-2724
(860) 212-2552
Mailing address
67 OAKWOOD ST, ENFIELD, CT 06082-2724
(860) 212-2552
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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