Individual
MR. MARK ALAN SHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 HIGH ST., POTTSTOWN, PA 19464
(610) 326-1250
(610) 323-7812
Mailing address
P.O. BOX 676, 51 HIGH ST., POTTSTOWN, PA 19464
(610) 326-1250
(610) 323-7812
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
F02340
PA
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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