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1497775787
MICHAEL JONATHAN SHAW
SYRACUSE, NY
NPI
1497775787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 137054-2)
Enumeration Date
2006-07-20
Last Update Date
2010-05-11
Business Address
-- MICHAEL JONATHAN SHAW MD
4900 BROAD RD
SYRACUSE, NY 13215-2265
Phone number: 315-492-5535
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Mailing Address
-- MICHAEL JONATHAN SHAW MD
4900 BROAD RD
SYRACUSE, NY 13215-2265
Phone number: 315-492-5535
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