Individual
JONATHAN SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 RUTHERFORD RD STE 101, HARRISBURG, PA 17109-4540
(717) 545-5256
(717) 545-5259
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 270-7500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT190918
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025813670001
—
PA
Enumeration date
05/29/2007
Last updated
06/13/2023
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