Individual
KANWON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 CABOT RD STE 101, HUDSON, MA 01749-2963
(978) 562-3536
(978) 562-4626
Mailing address
171 MAIN ST STE 203B, ASHLAND, MA 01721-1187
(508) 881-3029
(508) 881-1752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA9338
MA
363A00000X
Physician Assistant
Primary
PA9339
MA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/06/2020
Last updated
10/09/2024
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