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Ian Montgomery Shaw, DO

Pediatrics, Pediatric Allergy/Immunology in Hershey, PA. Individual provider (NPI-1).

NPI number1194302000
StatusActive
Last updated in NPPESJul 1, 2026

Details

NPI
1194302000
Entity type
Individual (NPI-1)
Name
Ian Montgomery Shaw
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 26, 2021
Certification date
Jul 1, 2026
Last updated
Jul 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0201X Pediatrics, Pediatric Allergy/ImmunologyOS026119PAYes
208000000X PediatricsC7-0018514DE

Other names

  • N/A N/A (Other Name)

Practice location

35 Hope Dr
Hershey, PA 17033-2008

Phone 717-531-1846 · Fax 717-531-0397

Mailing address

500 University Dr Mc Ca410
Hershey, PA 17033-2360

Phone 717-531-5208 · Fax 717-531-0119

Other practice locations

1600 Rockland Rd
Wilmington, DE 19803-3607

Phone 518-262-3593

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Other Pediatric Allergy/Immunology Physician providers in Hershey, PA

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