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Individual

BARRY A SHOPNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
DIV CARDIAC SURGERY BRIGHAM AND WOMEN'S HOSPITAL, 75 FRANCIS ST, BOSTON, MA 02115
(617) 732-6660
Mailing address
4 HAWTHORNE RD, WAYLAND, MA 01778-4008
(508) 904-1057

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
128
MA
363A00000X
Physician Assistant

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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