Individual
DR. BRUCE S. SHAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
761 MAIN AVE, SUITE 102, NORWALK, CT 06851-1080
(203) 810-4151
(203) 810-4151
Mailing address
761 MAIN AVE, SUITE 102, NORWALK, CT 06851-1080
(203) 810-4151
(203) 810-4151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43924
CT
207ND0900X
Dermatopathology Physician
179433-1
NY
Other
Enumeration date
07/20/2005
Last updated
03/01/2012
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