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Dr. Ethan Shamis, MBBCHBAO
Student in an Organized Health Care Education/Training Program in Scranton, Pennsylvania
NPI 1477258929

Ethan Shamis is a Student in an Organized Health Care Education/Training Program based in Scranton, PA. Ethan Shamis practices in Scranton, PA and has the professional credentials of MBBCHBAO. The NPI Number for Ethan Shamis is 1477258929 and holds a License No. (Pennsylvania).

The current practice location address for Ethan Shamis is 501 South Washington Avenue, Scranton, PA and can be reached out via phone at 570-591-5153. You can also correspond with Ethan Shamis through the mailing address at THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, SCRANTON, PA - 18505 (mailing address contact number: 570-591-5153).

Location: 501 South Washington Avenue, Scranton, PA, 18505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477258929
Provider Name
Ethan Shamis
Credential
MBBCHBAO
Provider Entity Type
Individual
Gender
Male
Address
501 South Washington Avenue, Scranton, PA, 18505
Phone Number
570-591-5153
Fax Number
Provider Enumeration Date
04/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 South Washington Avenue
City
Scranton
State
Pennsylvania
Zip
18505
Phone Number
570-591-5153
Fax Number
person
Provider Business Mailing Address Details
Address
501 South Washington Avenue
City
Scranton
State
Pennsylvania
Zip
18505
Phone Number
570-591-5153
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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