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Individual

DR. SHAHAB S. MINASSIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 S 7TH AVE, SUITE 245, WEST READING, PA 19611-1410
(610) 374-2214
(610) 685-5852
Mailing address
301 S 7TH AVE, SUITE 245, WEST READING, PA 19611-1410
(610) 374-2214
(610) 685-5852

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD025615E
PA
207VE0102X
Reproductive Endocrinology Physician
Primary
MD025615E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001032180
PA
Enumeration date
04/18/2006
Last updated
11/18/2014
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