MATTHEW W. SHAWL, MD PC
Medical Practice at Broadway, New York, NY

License number
New York 208640
Category
Medical Practice
Type
Specialist
Owner
Name: MATTHEW W SHAWL
Title: SOLE PROPRIETOR
Phone: (212) 787-6900
Address
Address
853 Broadway ROOM 903, New York, NY 10003
National Provider ID: 1366659039
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MATTHEW W. SHAWL, M.D., PC

853 Broadway SUITE 903, New York, NY 10003

Industry:
Medical Doctor's Office
Registration:
Sep 10, 2001
State ID:
2679089
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Office Managers:
Matthew W Shawl Md, 853 Broadway SUITE 903, New York, NY 10003 (Physical),Matthew W. Shawl (Medical Doctor, Sole Proprietor),Melinia Vu Office Manager, inactive
Agent:
Md Matthew W Shawl,853 Broadway SUITE 903, New York, NY 10003 (Physical)

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