NICOLE JOHNISE SHAW

PHILADELPHIA, PA
NPI1780315473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  MT227223)
Enumeration Date2022-06-22
Last Update Date2022-06-22
Business Address
NICOLE JOHNISE SHAW MD
8835 GERMANTOWN AVE
PHILADELPHIA, PA 19118-2718
Phone number: 215-482-1234
Mailing Address
NICOLE JOHNISE SHAW MD
3900 CITY AVE MADISON BUILDING APARTMENT 211
PHILADELPHIA, PA 19131
Phone number: 510-457-5267
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