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Individual

ILIA SHLIMAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
321 MAIN ST, ACTON, MA 01720-3718
(978) 635-8700
(978) 635-8920
Mailing address
321 MAIN ST, ACTON, MA 01720-3718
(978) 635-8700
(978) 635-8920

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76049
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3138178
MA
Enumeration date
03/29/2006
Last updated
03/08/2017
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