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1821058207
ERIC GORGON SHAW
SYRACUSE, NY
NPI
1821058207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 224829)
Enumeration Date
2006-03-28
Last Update Date
2013-08-14
Business Address
ERIC GORGON SHAW M.D.
4900 BROAD RD
SYRACUSE, NY 13215-2265
Phone number: 315-492-5535
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Mailing Address
ERIC GORGON SHAW M.D.
20830 CAGWIN RD
WATERTOWN, NY 13601-5364
Phone number: 315-583-5304
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