Individual
DR. SHANNON UGARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-4500
(617) 632-5370
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A165784
CA
207RX0202X
Medical Oncology Physician
Primary
1022934
MA
Other
Enumeration date
04/06/2017
Last updated
05/20/2026
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