Individual
DANA SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CROZERVILLE RD, ASTON, PA 19014-1444
(610) 938-2800
Mailing address
425 S CARLISLE ST, PHILADELPHIA, PA 19146-1655
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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