Peter D Shelton, PA
Physician Assistant, Surgical in Southampton, NY. Individual provider (NPI-1).
NPI number1023043890
StatusActive
Last updated in NPPESMar 20, 2008
Details
- NPI
- 1023043890
- Entity type
- Individual (NPI-1)
- Name
- Peter D Shelton
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2006
- Last updated
- Mar 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 000426 2 | NY | Yes |
| 363AS0400X | Physician Assistant, Surgical | 000426 1 | NY |
Other names
- Hampton Orthopedics Sports Medicine (Other Name)
Practice location
325 Meeting House Ln Bldg 2Suite 301
Southampton, NY 11968-5087
Phone 631-287-9477
Mailing address
325 Meeting House Ln Bldg 2Suite 301
Southampton, NY 11968-5087
Phone 631-287-9477
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