Individual
LEONARD H SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
100 WASON AVENUE, SUITE 120, SPRINGFIELD, MA 01107-1119
(413) 241-2100
(413) 735-1986
Mailing address
100 WASON AVENUE, SUITE 120, SPRINGFIELD, MA 01107-1119
(413) 241-2100
(413) 735-1986
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
70483
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3049035
—
MA
01
—
J08438
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/01/2006
Last updated
06/17/2010
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