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Contact Information

KANWON SHAW, PA-C
1 CABOT RD STE 101
HUDSON, MA01749-2963
 Phone: 978-562-3536
 Fax: 978-562-4626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KANWON SHAW · (Female)

NPI Number 1477170546
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/06/2020
Last updated 10/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # PA9338
  • MA License # PA9339
Hospital affiliation(s)
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
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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