Individual
SHAUN R CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
505 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301-7916
(610) 402-8900
(570) 420-1704
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1895
ME
363AM0700X
Medical Physician Assistant
Primary
MA064862
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811439821
—
ME
Enumeration date
11/08/2016
Last updated
09/07/2023
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