Individual
GEORGE JAMES SHAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
8902
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109167Y0NH01
ANTHEM
NH
01
—
136660
CIGNA
—
05
—
30010796
—
NH
01
—
F53098
HARVARD
—
Enumeration date
02/14/2006
Last updated
03/14/2019
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