Shaw, Judith

Shaw, Judith is an individual health care provider with primary practice located at 900 Warren Ave Suite 200, East Providence RI 02914-1430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shaw, Judith can be contacted via phone (401) 421-6481.

Contact Information

Primary practice address
900 Warren Ave Suite 200 East Providence RI 02914-1430
Phone: (401) 421-6481
Fax: (401) 751-8734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD05989 Rhode Island

Profile Details

NPI number 1467449959
LBN Legal business name Shaw, Judith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467449959 NPPES
Rhode Island Other 709004047 GROUP MEDICARE
Rhode Island MEDICAID JS01339 GROUP MEDICARE

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