Individual
SHAHE FERESHETIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
90 LIBBEY INDUSTRIAL PKWY, WEYMOUTH, MA 02189-3129
(781) 624-8000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
71442
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3050769
—
MA
Enumeration date
09/08/2005
Last updated
05/01/2023
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