Individual
MARK MCSHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HOSPITAL MEDICINE, PHILADELPHIA, PA 19104-4319
(267) 590-3481
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HOSPITAL MEDICINE, PHILADELPHIA, PA 19104-4319
(267) 590-3481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT228883
PA
208000000X
Pediatrics Physician
T5392
TX
Other
Enumeration date
03/18/2019
Last updated
06/24/2023
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