| | Physician Last Name: | Shaffer |
| | Physician First Name: | Brian |
| | Physician Middle Name: | L |
| | Address: | 3800 Quakerbridge Road
Mercerville, NJ 08619 |
| | License Number: | 178891 |
| | License Type: | MD |
| | Year of Birth: |
1955
|
| | Effective Date: | 05/21/2010 |
| | Action Description for DOH Webpage: | The physician has agreed to never activate his registration or reapply for a license to practice medicine in New York State. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been convicted in the United States District Court of New Jersey of evasion of income taxes and having been disciplined due to the conviction by the New Jersey Board of Medical Examiners and the Pennsylvania State Board of Medicine. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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