Individual
MRS. IFAT JACQUELINE SHAHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, RCEP, CDCEC
Contact information
Practice address
116 FLORENCE ST APT C, CHESTNUT HILL, MA 02467-1937
(857) 891-6190
Mailing address
116 FLORENCE ST APT C, CHESTNUT HILL, MA 02467-1937
(857) 891-6190
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1000239
MA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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