| Doctor Name: | SHELLEY S SASSAMAN |
| NPI Number: | 1609875632 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA001448L |
| Business Practice Address: | 241 Claremont Avenue Hometown, PA - 182524433 |
| Business Phone Number: | 5702257211 |
| Business Fax Number: | 5702257221 |
| Mailing Address: | Po Box 1347, KINGSTON |
| State: | PA |
| Postal Code: | 187040347 |
| Phone Number: | 5702888881 |
| Fax Number: | 5702888065 |
| NPI Enumeration Date: | 07/20/2005 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA001448L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |