Individual
JAN R SHOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6300
(617) 629-6090
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6300
(617) 629-6090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73160
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015153
NEIGHBORHOOD HEALTH
MA
01
—
073160
TUFTS
MA
05
—
3202593
—
MA
01
—
J16087
BLUE CROSS
MA
01
—
PP412
HARVARD PILGRIM
MA
Enumeration date
01/19/2006
Last updated
10/23/2020
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