Shannon Maude, M.D.
Pediatrics, Pediatric Hematology-Oncology in Philadelphia, PA. Individual provider (NPI-1).
NPI number1750581237
StatusActive
Last updated in NPPESMay 16, 2013
Details
- NPI
- 1750581237
- Entity type
- Individual (NPI-1)
- Name
- Shannon Maude
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2007
- Last updated
- May 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | MD434697 | PA | Yes |
| 208000000X | Pediatrics | MT188295 | PA |
Practice location
3401 Civic Center BlvdChildren'S Hospital Of Philadelphia - Hem/Onc
Philadelphia, PA 19104-4319
Phone 215-590-3535 · Fax 215-590-3992
Mailing address
100 E Penn Sq9th Floor
Philadelphia, PA 19107-3323
Phone 267-425-9232 · Fax 267-425-9299
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