Individual
PATRICK SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
229 TRUMBULL ST, HARTFORD, CT 06103-1501
(860) 231-5420
Mailing address
68 NORTH ST, DUXBURY, MA 02332-2902
(857) 340-9053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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