Individual
JACLYN SHAMEKLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MGH DIVISION OF PALLIATIVE CARE & GERIATRIC MEDICINE, 55 FRUIT STREET, FOUNDERS 600, BOSTON, MA 02114
(617) 724-9509
Mailing address
MGH DIVISION OF PALLIATIVE CARE & GERIATRIC MEDICINE, 55 FRUIT STREET, FOUNDERS 600, BOSTON, MA 02114
(617) 724-9509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03331
RI
207R00000X
Internal Medicine Physician
MD16174
RI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ET90070
MA
Other
Enumeration date
05/14/2015
Last updated
06/12/2020
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