Individual
SHANE PATRICK MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 N KEYSER AVE, SCRANTON, PA 18508-1215
(570) 343-1914
Mailing address
331 GLENMAURA DR, MOOSIC, PA 18507-1921
(610) 721-9243
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
14000002597
NY
237700000X
Hearing Instrument Specialist
Primary
F02804
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194043109
ORGANIZATIONAL NPI
PA
01
—
1679891972
ORGANIZATIONAL NPI
NY
Enumeration date
12/22/2021
Last updated
12/22/2021
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