Individual
MRS. SHAWNA MAE BUCCHERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 PEARL ST, SUITE 2100, BROCKTON, MA 02301-2864
(503) 897-6015
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA4784
MA
Other
Enumeration date
07/31/2013
Last updated
01/10/2018
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