Individual
ROBERT E SHADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-4040
(267) 426-9800
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD431438
PA
2080P0202X
Pediatric Cardiology Physician
174952-1205
UT
2080P0202X
Pediatric Cardiology Physician
Primary
MD431438
PA
Other
Enumeration date
08/30/2006
Last updated
04/16/2013
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