Individual
DR. SCOTT A SHIKORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0986
Mailing address
75 FRANCIS STREET, ASBII-3RD FLOOR, BOSTON, MA 02115
(617) 525-8570
(617) 734-0336
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57931
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032001
—
MA
Enumeration date
08/31/2006
Last updated
06/11/2012
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