Individual
JAMES WHITE SHEPHERD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
253 PLEASANT LAKE AVE, HARWICH, MA 02645-2535
(508) 432-5233
(508) 430-0511
Mailing address
253 PLEASANT LAKE AVE, HARWICH, MA 02645-2535
(508) 432-5233
(508) 430-0511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209452
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148521
—
MA
01
—
711548
HARVARD PILGRIM
MA
01
—
J24110
BCBS
MA
Enumeration date
08/01/2006
Last updated
07/08/2007
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