Individual
DAVID SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2010 W CHESTER PIKE, HAVERTOWN, PA 19083-2700
(610) 853-7700
Mailing address
860 W CHESTNUT ST, COAL TOWNSHIP, PA 17866-1902
(570) 898-7186
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128667
PA
Other
Enumeration date
10/21/2019
Last updated
06/09/2022
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