Individual
FAUSTIN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1840 SOUTH ST, TUTTLEMAN BLDG,2ND FLOOR, PHILADELPHIA, PA 19146-7411
(215) 893-7244
Mailing address
1840 SOUTH ST, TUTTLEMAN BLDG,2ND FLOOR, PHILADELPHIA, PA 19146-7411
(215) 893-7244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002954
PA
363AM0700X
Medical Physician Assistant
Primary
MA058509
PA
Other
Enumeration date
08/25/2016
Last updated
11/03/2016
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