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Individual

YANG SHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 N BROAD ST, LANSDALE, PA 19446-2414
(267) 205-3177
Mailing address
400 N BROAD ST, LANSDALE, PA 19446-2414
(267) 205-3177

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD421627
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019548740001
PA
01
MD421627
LICENSE
PA
Enumeration date
05/18/2006
Last updated
05/21/2015
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