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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB ISRAEL SHAW, MD

Active

JACOB ISRAEL SHAW, MD is a Family Medicine healthcare provider located in BURLINGTON, Vermont. NPI 1023497344 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BURLINGTON, VT

Registration Details

NPI Number
1023497344
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2015 (11.28470468419 yrs)
Last Updated
Feb 11, 2021
License
036144497 (IL)

Practice Information

Address
789 PINE ST
BURLINGTON, VT, 054014924
Browse VT providers · Browse ZIP 05401
Phone
8028640693
Fax
0286066138
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BURLINGTON, VT

Name Credential NPI
DIANA LYNN BARNARD MD 1902893738
DR. KATHERINE M MARIANI M.D. 1255314167
DR. PATRICIA L FISHER M.D. 1053397570
DR. WAYNE L WARNKEN M.D. 1326024878
DR. RACHEL H INKER M.D. 1558347096
STEPHANIE COWAN BELLOMO MD 1295709350
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.