| Doctor Name: | DR. ZACHARY JOSEPH SHAUB |
| NPI Number: | 1790097434 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 02003924A |
| Business Practice Address: | 2480 Llewellyn Ave Kimbrough Ambulatory Care Center, Primary Care Clinic Fort Meade, MD - 207557081 |
| Business Phone Number: | 7179406788 |
| Business Fax Number: | |
| Mailing Address: | 35 Old Church Ln, YORK |
| State: | PA |
| Postal Code: | 174068099 |
| Phone Number: | 7179406788 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2010 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 02003924A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |