Organization
MCSHANE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M MCSHANE M.D. (PRESIDENT)
(610) 254-8001
Entity
Organization
Contact information
Practice address
734 E LANCASTER AVE, VILLANOVA, PA 19085-1325
(610) 254-8001
(610) 254-0911
Mailing address
734 E LANCASTER AVE, VILLANOVA, PA 19085-1325
(610) 254-8001
(610) 254-0911
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD055461L
PA
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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