Search › Vermont › 207Q00000X
Jacob Shaw, MD
NPI 1023497344 · on the registry since 2015
Practice
- Address
- 789 Pine St
Burlington, VT 05401 - Phone
- (802) 864-0693
- Fax
- (028) 606-6138
- Organisation at this address
- Perry And Slesnick, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Additional practice sites
- 3 Erie Ct Ste 1300, Oak Park, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont