Marianne L Shaw, M.D.
Internal Medicine, Rheumatology in Tyrone, PA. Individual provider (NPI-1).
NPI number1790785582
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1790785582
- Entity type
- Individual (NPI-1)
- Name
- Marianne L Shaw
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2005
- Certification date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | MD4238723 | PA | Yes |
Practice location
154 Hospital DrTyrone, PA 16686
Phone 814-684-6341 · Fax 814-684-6343
Mailing address
154 Hospital DrTyrone, PA 16686
Phone 814-684-6341 · Fax 814-684-6343
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