# CHARLES RIVER EAR, NOSE & THROAT ASSOCIATES, P. C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568765394
- **Authorized official:** DR. JAMES W. SHEPARD M. D. (PRESIDENT)
- **Authorized official phone:** (508) 655-0100

## Contact information

- **Practice address:** 67 UNION ST, SUITE 306, NATICK, MA 01760-7700
- **Practice address phone:** (508) 655-0100
- **Practice address fax:** (508) 651-8718
- **Mailing address:** 67 UNION ST, SUITE 306, NATICK, MA 01760-7700
- **Mailing address phone:** (508) 655-0100
- **Mailing address fax:** (508) 651-8718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 28785 | MA | Yes |

## Other

- **Enumeration date:** 12/16/2010
- **Last updated:** 12/16/2010