Organization
M SHANE DAWSON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW S DAWSON MD (MEDICAL DOCTOR)
(212) 548-3267
Entity
Organization
Contact information
Practice address
122 E 76TH ST OFC 1B, NEW YORK, NY 10021-2833
(212) 548-3267
Mailing address
122 E 76TH ST OFC 1B, NEW YORK, NY 10021-2833
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225166
LICENSE
NY
Enumeration date
10/08/2018
Last updated
10/08/2018
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