Individual
CHRISTINE SHEVCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3352
(617) 278-6965
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3352
(617) 278-6965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6194
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110128835A
—
MA
Enumeration date
09/15/2014
Last updated
11/14/2018
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