Organization
JAMES M SHENKO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M SHENKO (OWNER)
(508) 852-2001
Entity
Organization
Contact information
Practice address
299 LINCOLN ST, WORCESTER, MA 01605-3646
(508) 852-2001
Mailing address
299 LINCOLN ST, WORCESTER, MA 01605-3646
(508) 852-2001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
80130
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9742051
—
MA
Enumeration date
05/30/2006
Last updated
07/10/2007
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