Individual
SHEILA M CALLAHAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
372 CHANDLER STREET, WORCESTER, MA 01602
(508) 767-3992
(508) 767-3999
Mailing address
372 CHANDLER STREET, WORCESTER, MA 01602
(508) 767-3992
(508) 767-3999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53989
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6189652
—
MA
01
—
J04204
BLUE CROSS
—
Enumeration date
10/24/2006
Last updated
07/08/2007
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