Individual
JOHN MASHIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(401) 490-2130
(401) 435-2483
Mailing address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD11923
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457344574
SENIOR WHOLE HEALTH
MA
05
—
3134831
—
MA
01
—
39845
FALLON
MA
01
—
39845
FALLON
—
01
—
510492088
UHC
—
01
—
AA115299
HPHC
—
01
—
AA117151
HPHC
MA
01
—
J31081
BCBS
MA
01
—
J31081
BCBS
—
Enumeration date
08/24/2005
Last updated
06/25/2008
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