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Contact Information

JANA SHAW, MD
238 ARSENAL ST
WATERTOWN, NY13601-2504
 Phone: 315-782-6400
 Fax: 315-782-1330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JANA SHAW · (Female)

NPI Number 1548208820
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2006
Last updated 10/20/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 239174
  • NY Medicaid 02462559
  • NY Other 239174 LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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