Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 036-109317 | IL |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 234980 | MA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | C134620 | CA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD463223 | PA |
NPI | 1114170735 |
---|---|
Provider Name | Jeffrey H Shuhaiber |
First Address | Danville, PA 17822-4903 |
Second Address | Wilkes Barre, PA 18711-0027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 12/04/2021 |