Individual
DR. SHERRY S SHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 255-3828
(215) 255-3577
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD421264
PA
2085R0202X
Diagnostic Radiology Physician
25MA11238000
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD421264
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101263395
—
PA
Enumeration date
02/22/2006
Last updated
10/04/2022
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