MARIAH ALICE SHAW

PHILADELPHIA, PA
NPI1285255588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: PA  MD480524)
Enumeration Date2020-04-28
Last Update Date2023-08-02
Business Address
MARIAH ALICE SHAW
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
Mailing Address
MARIAH ALICE SHAW
3401 CIVIC CENTER BLVD STE M975
PHILADELPHIA, PA 19104-4319
Phone number: