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Organization

JAMES M SHENKO, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA CASSELL (OFFICE MANAGER)
(508) 852-2001
Entity
Organization

Contact information

Practice address
299 LINCOLN ST, SUITE 201, WORCESTER, MA 01605-3646
(508) 852-2001
(508) 852-3001
Mailing address
299 LINCOLN ST, SUITE 201, WORCESTER, MA 01605-3646
(508) 852-2001
(508) 852-3001

Taxonomy

Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
80130
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110055368A
MA
Enumeration date
08/19/2016
Last updated
08/19/2016
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