Paul Andrew Shanahan MD

NPI 1023079142 - Internal Medicine - 207R00000X

NPI Details
NPI 1023079142
Gender Male
Enumeration Date 03/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
800 IRVING AVE
VAMC
SYRACUSE NY, 13210-2716, US
Phone (315) 425-4826
Fax (315) 425-4827
Business Location
800 IRVING AVE
VAMC
SYRACUSE NY, 13210-2716, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 134912
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According to our database, Dr. Paul Andrew Shanahan MD NPI is 1023079142, taxonomy code is 207R00000X and license number is 134912, license state is located at New York. Paul Andrew Shanahan MD physically located at 800 Irving Ave, Syracuse NY, 13210-2716. NPI Number Paul Andrew Shanahan MD has the Individual type.

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1023079142 NPI number is provided on an as is basis without warranty of any kind. 1023079142 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Andrew Shanahan MD are for informational purposes only.