Individual
MRS. MARJORIE E SHIROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA,C
Contact information
Practice address
201 QUINCY ST, BROCKTON, MA 02302-2926
(508) 584-1890
(508) 580-3332
Mailing address
201 QUINCY ST, BROCKTON, MA 02302-2926
(508) 584-1890
(508) 580-3332
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
312
MA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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