Provider Demographics
NPI:1376171264
Name:SHATZMAN, JAMIE SHAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:SHAWN
Last Name:SHATZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HARRISON DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-1420
Mailing Address - Country:US
Mailing Address - Phone:610-687-2663
Mailing Address - Fax:
Practice Address - Street 1:25 HARRISON DR
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-1420
Practice Address - Country:US
Practice Address - Phone:610-687-2663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-28
Last Update Date:2020-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049364L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease