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Individual

DR. DOUGLAS LEVI SHELDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
327 N WASHINGTON AVE, STE 200, SCRANTON, PA 18503-1535
(570) 961-5522
(570) 961-5579
Mailing address
327 N WASHINGTON AVE, STE 200, SCRANTON, PA 18503-1535
(570) 961-5522
(570) 961-5579

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD018001E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
822422
PA
Enumeration date
06/16/2005
Last updated
02/18/2010
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