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Individual

EILEEN M STUART-SHOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ANP

Contact information

Practice address
300 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER - STONEMAN 1 PAT, BOSTON, MA 02215-5403
(617) 667-6071
Mailing address
300 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER - STONEMAN 1 PAT, BOSTON, MA 02215-5403

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111311
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
111311
MA

Other

Enumeration date
09/30/2016
Last updated
09/30/2016
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