Individual
JIAN SHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 HARRISBURG AVE, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Mailing address
100 KINGS HIGHWAY SOUTH, PROVIDER ENROLLMENT, ROCHESTER, NY 14617-5504
(585) 922-1304
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD484945
PA
Other
Enumeration date
06/12/2012
Last updated
02/20/2025
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