Individual
DR. ALAN SHIFMAN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
741 GATEVIEW AVE, ALBANY, CA 94706-1029
(478) 804-2220
Mailing address
2615 SW 46TH ST, CAPE CORAL, FL 33914-6162
(239) 542-7057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G019864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G019864
MEDICAL LICENSE
CA
Enumeration date
06/18/2012
Last updated
06/18/2012
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