Individual
DR. ANITA NATHAN SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
97 LIBBEY INDUSTRIAL PKWY STE 100, EAST WEYMOUTH, MA 02189-3110
(781) 331-3300
(781) 331-8356
Mailing address
97 LIBBEY INDUSTRIAL PKWY STE 100, EAST WEYMOUTH, MA 02189-3110
(781) 331-3300
(781) 331-8356
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
246913
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002225402
MEDICARE
MA
05
—
110089196A
—
MA
01
—
764488
TUFTS ASSOCIATED HEALTH PLAN
MA
01
—
AA315305
HARVARD PILGRIM
MA
Enumeration date
10/09/2007
Last updated
12/20/2021
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