Individual
DERRI SHTASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 812, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 643-4340
Mailing address
15 PARKMAN ST, WAC 812, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-1047
(617) 643-4340
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
158370
MA
Other
Enumeration date
11/20/2006
Last updated
08/18/2009
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