Individual
SUJAL ILESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
283498
MA
Other
Enumeration date
04/30/2015
Last updated
09/02/2021
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