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Individual
CHARLES B SHANA
Active
Individual
CHARLES B SHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
54052
MA
207RG0100X
Gastroenterology Physician
MD06300
RI
Other
Enumeration date
04/24/2006
Last updated
04/27/2020
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