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1134481427
JIAN SHAN
ROCHESTER, NY
NPI
1134481427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NY 294347)
Enumeration Date
2012-06-12
Last Update Date
2019-04-09
Business Address
JIAN SHAN M.D.
30 HAGEN DR STE 100
ROCHESTER, NY 14625-2658
Phone number: 585-442-5320
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Mailing Address
JIAN SHAN M.D.
100 KINGS HIGHWAY SOUTH PROVIDER ENROLLMENT
ROCHESTER, NY 14617-5504
Phone number: 585-922-1304
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