Individual
SHAH M HOSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3741
(508) 427-3991
Mailing address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3741
(508) 427-3991
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
150286
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3151859
—
MA
Enumeration date
09/20/2005
Last updated
07/08/2007
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