Individual
GEORGE JAMES SHAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 RIVER RD, MANCHESTER, NH 03104
(603) 668-2020
(603) 668-0881
Mailing address
250 RIVER RD, MANCHESTER, NH 03104
(603) 668-2020
(603) 668-0881
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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