Individual
KAREN J SHEDLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
220R FORBES ROAD, DEPARTMENT OF DEVELOPMENTAL DISABILITIES, BRAINTREE, MA 02184
(617) 855-2577
(781) 356-8858
Mailing address
220R FORBES ROAD, DEPARTMENT OF DEVELOPMENTAL DISABILITIES, BRAINTREE, MA 02184
(617) 855-2577
(781) 356-8858
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56645
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3162869
—
MA
01
—
J08696
BCBS
MA
Enumeration date
06/12/2006
Last updated
03/26/2014
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