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Individual

DR. CARL RICHARD SHAFTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
211 N MONROE ST, MEDIA, PA 19063-3019
(610) 565-1468
(610) 565-2734
Mailing address
2974 N PROVIDENCE RD, MEDIA, PA 19063-4317
(610) 565-1468
(610) 565-2734

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD016849E
PA

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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