Individual
MICHELLE R. SHABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE # ES-215, BOSTON, MA 02215-5491
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
289928
MA
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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