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Individual

JASON M. SHOHET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655
(774) 441-8083
(774) 441-8057
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
159613
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
159613
MA
2080P0207X
Pediatric Hematology & Oncology Physician
K9419
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106152501
TX
Enumeration date
10/17/2006
Last updated
08/04/2025
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