Individual
GREGORY DAWSON SHOULDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 WILLIAMS ST, PITTSFIELD, MA 01201-7463
(413) 445-4564
(413) 448-2727
Mailing address
740 WILLIAMS ST, PITTSFIELD, MA 01201-7463
(413) 445-4564
(413) 448-2727
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
53102
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6183298
—
MA
01
—
M16029
MEDICARE GRP PIN
MA
Enumeration date
06/04/2006
Last updated
12/08/2009
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