Joanne Omalley Shepard MD

NPI 1083605638 - Radiology - 2085R0202X

NPI Details
NPI 1083605638
Gender Female
Enumeration Date 11/02/2005
Last Updated 08/09/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
55 FRUIT STREET
FND 2
BOSTON MA, 02114-2696, US
Phone (617) 724-4256
Fax (617) 724-0046
Business Location
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-4256
Fax (617) 724-0046
Toxanomy
Taxonomy Code 2085R0202X
License State New York
License Number 211708
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According to our database, Dr. Joanne Omalley Shepard MD NPI is 1083605638, taxonomy code is 2085R0202X and license number is 211708, license state is located at New York. Joanne Omalley Shepard MD physically located at 55 Fruit Street, Boston MA, 02114-2696. NPI Number Joanne Omalley Shepard MD has the Individual type.

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1083605638 NPI number is provided on an as is basis without warranty of any kind. 1083605638 is maintained by the National Plan & Provider Enumeration System. The contents of Joanne Omalley Shepard MD are for informational purposes only.