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Individual

DR. MARK JEFFREY SHANKMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9 HOPE AVE, WALTHAM, MA 02453-2741
(617) 243-5590
Mailing address
190 FOREST AVE, NEWTON, MA 02465-3012
(617) 332-3584

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49116
MA

Other

Enumeration date
05/11/2006
Last updated
07/08/2007
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