Individual
TERRY D SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 ENCLAVE DR, NEW CASTLE, PA 16105-3208
(724) 658-9700
(724) 658-9666
Mailing address
130 ENCLAVE DR, NEW CASTLE, PA 16105-3208
(724) 658-9700
(724) 658-9666
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD032709E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019247120001
—
PA
Enumeration date
10/17/2006
Last updated
02/14/2013
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