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Individual

DR. KATHARINA STEPHANIE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3401 CIVIC CENTER BLVD, 1-330S PERELMAN CENTER, PHILADELPHIA, PA 19104-4319
(205) 919-2087
Mailing address
3600 SPRUCE ST, PHILADELPHIA, PA 19104-4211

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD481957
PA
207NP0225X
Pediatric Dermatology Physician
481957
PA

Other

Enumeration date
03/20/2018
Last updated
01/09/2025
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