Individual
MR. DENNIS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-0001
(302) 733-5380
(302) 733-5342
Mailing address
6 ALFRED AVE, WILMINGTON, DE 19805-2028
(610) 800-1883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C5-0000730
DE
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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