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Individual

ROBERT LESLIE SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 HOSPITAL RD, SUITE 2B, LEOMINSTER, MA 01453-2253
(978) 840-6481
Mailing address
100 HOSPITAL RD, SUITE 2B, LEOMINSTER, MA 01453-2253
(978) 840-6481

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
77214
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3060322
MA
Enumeration date
12/21/2006
Last updated
07/08/2007
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