Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
M SHANE ANGLETON, P.A.
ActiveM SHANE ANGLETON, P.A. is a Medical Physician Assistant healthcare provider located in CAMDEN, New York. NPI 1447280508 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CAMDEN, NY
Registration Details
- NPI Number
- 1447280508
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (20.154834269741 yrs)
- Last Updated
- Dec 4, 2023
- License
-
003097-1 (NY)
Practice Information
- Address
-
9562 STATE ROUTE #13CAMDEN, NY, 133164940Browse NY providers · Browse ZIP 13316
- Phone
- 3152455029
- Fax
- 3152455056
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.