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NPI Code Detail

MEDICARE: JONATHAN SHAW-DONG GE

MEDICARE: JONATHAN SHAW-DONG GE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramMT237708PA

General Provider Information

NPI Number : 1992594097
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN SHAW-DONG GE
Provider Business Mailing Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number : 484-526-1735
Fax Number :
Provider Business Practice Location Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number : 484-526-1735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2025
Last Update Date : 06/01/2026

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Directions to “ JONATHAN SHAW-DONG GE ” Practice Location

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