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Organization
SHIFA COMPREHENSIVE HEALTH CENTER
Active
Organization
SHIFA COMPREHENSIVE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUKAT MATIN M.D. (OWNER)
(413) 244-6947
Entity
Organization
Contact information
Practice address
185 WEST AVE, LUDLOW, MA 01056-1700
(413) 244-6947
Mailing address
185 WEST AVE, LUDLOW, MA 01056-1700
(413) 244-6947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73452
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73452
LICENSE
MA
Enumeration date
09/29/2015
Last updated
11/20/2015
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