Individual
DANIEL SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2500 BERNVILLE RD, READING, PA 19605-9453
(610) 378-2000
Mailing address
2300 ADAMS AVE, SCRANTON, PA 18509-1514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064796
PA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/14/2023
Last updated
04/30/2026
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