Individual
MARK P SHAMPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 COLLEGE HEIGHTS BLVD, STE 200, ALLENTOWN, PA 18104-4812
(610) 820-7611
(610) 820-9884
Mailing address
3131 COLLEGE HEIGHTS BLVD, STE 200, ALLENTOWN, PA 18104-4812
(610) 820-7611
(610) 820-9884
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD025134E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08418110001
—
PA
Enumeration date
08/15/2005
Last updated
07/08/2007
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