Fred Thomas Paul Shah

NPI 1073857124 - Counselor - 101YP2500X

NPI Details
NPI 1073857124
Gender Male
Enumeration Date 11/15/2012
Last Updated 06/25/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
4502-107 CODDINGTON LOOP
APT 107
WILMINGTON NC, 28405, US
Phone (910) 547-1559
Fax
Business Location
4502-107 CODDINGTON LOOP
APT 107
WILMINGTON NC, 28405, US
Phone (910) 547-1559
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State North Carolina
License Number 9687
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According to our database, Fred Thomas Paul Shah NPI is 1073857124, taxonomy code is 101YP2500X and license number is 9687, license state is located at North Carolina. Fred Thomas Paul Shah physically located at 4502-107 Coddington Loop, Wilmington NC, 28405. NPI Number Fred Thomas Paul Shah has the Individual type.

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1073857124 NPI number is provided on an as is basis without warranty of any kind. 1073857124 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Thomas Paul Shah are for informational purposes only.