Organization
JOHNSHAOMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHAO MD (OWNER)
(845) 564-1215
Entity
Organization
Contact information
Practice address
289 N PLANK RD, SUITE 3, NEWBURGH, NY 12550-1790
(845) 564-1215
(845) 553-6102
Mailing address
289 N PLANK RD, SUITE 3, NEWBURGH, NY 12550-1790
(845) 564-1215
(845) 553-6102
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
232955-1
NY
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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