Individual
BETINA D SHAKESPEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 NEWTON STREET, SOUTHBOROUGH MEDICAL GROUP, SOUTHBOROUGH, MA 01772
(508) 460-3250
Mailing address
2 HUBLEY LN, SOUTHBOROUGH, MA 01772-1991
(508) 460-3250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
159089
MA
Other
Enumeration date
06/01/2006
Last updated
03/01/2011
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