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Individual

DR. DAVID A SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4311 EASTON AVE, BETHLEHEM, PA 18020-1431
(484) 526-7410
(866) 436-6461
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6048
(484) 526-6500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD072307L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
813576
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/14/2007
Last updated
10/05/2017
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