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Individual

DR. WARREN P SHEPHERD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
750 WASHINGTON ST # 299, BOSTON, MA 02111-1526
(617) 636-0067
Mailing address
19 ALLSTON ST # 2, CHARLESTOWN, MA 02129-1901
(617) 636-5000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
221919
MA

Other

Enumeration date
04/13/2007
Last updated
07/08/2007
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