Individual
DR. ELLEN W SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1095 RYDAL RD, SUITE 100, RYDAL, PA 19046-1711
(267) 620-1100
(215) 572-1279
Mailing address
1095 RYDAL RD, SUITE 100, RYDAL, PA 19046-1711
(267) 620-1100
(215) 572-1279
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD023086E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000605561
AMERIHEALTH
PA
05
—
015281880004
—
PA
01
—
0428095000
KEYSTONE HEALTH PLAN EAST
PA
01
—
100006779
PALMETTO GBA
PA
01
—
1024676
KEYSTONE MERCY
PW
01
—
1105069005
CIGNA
PA
01
—
14617
HEALTH PARTNERS
PW
01
—
231937219
DEVON
PA
01
—
4611750
AETNA
PA
01
—
P386705
OXFORD
PW
Enumeration date
06/08/2006
Last updated
01/11/2011
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