Individual
JONATHAN SHAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 CAUSEWAY STREET, V.A. OUTPATIENT CLINIC, BOSTON, MA 02114
(617) 248-1057
Mailing address
31 JEFFERSON ST, NEWTONVILLE, MA 02458-1708
(617) 248-1057
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42938
MA
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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