Individual
DR. GARY S SHALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
777 NORTH STREET, PITTSFIELD, MA 01201
(413) 499-8531
(413) 499-8560
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150239
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110056996A
—
MA
05
—
3150810
—
MA
Enumeration date
05/08/2006
Last updated
07/21/2022
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