BAOHONG SHAN

POUGHKEEPSIE, NY
NPI1487674537
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  005994)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
-- BAOHONG SHAN PA
45 READE PL
POUGHKEEPSIE, NY 12601-3947
Phone number: 845-483-6217
Mailing Address
-- BAOHONG SHAN PA
45 READE PL
POUGHKEEPSIE, NY 12601-3947
Phone number: 845-483-6217
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