Individual
TAYLOR DENHAM SHANOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
537 STANTON CHRISTIANA RD, NEWARK, DE 19713-2146
(302) 633-7550
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011764
DE
Other
Enumeration date
08/06/2019
Last updated
09/11/2022
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