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Individual

SHIRLEY SHUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10 WILLARD STREET, QUINCY, MA 02169
(617) 479-1452
(617) 479-3500
Mailing address
10 WILLARD STREET, QUINCY, MA 02169
(617) 479-1452
(617) 479-3500

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
123966
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M16368
BC/BS
MA
Enumeration date
03/16/2006
Last updated
03/31/2010
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