WALLACE PHILIP SHAW

BETHESDA, MD
NPI1154949402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MD  D-48403)
Enumeration Date2020-07-13
Last Update Date2020-07-13
Business Address
WALLACE PHILIP SHAW BM BCh PhD
CLINICAL CENTER NIH
BETHESDA, MD 20892-0001
Phone number: 202-679-6003
Mailing Address
WALLACE PHILIP SHAW BM BCh PhD
1730 NEW HAMPSHIRE AVE NW APT 19
WASHINGTON, DC 20009-2545
Phone number: 202-679-6003
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