Individual
DR. SHARI NETHERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8565
(617) 730-0505
Mailing address
9 ASHFIELD ST, ROSLINDALE, MA 02131-1603
(617) 323-4192
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55282
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060390
—
MA
Enumeration date
09/26/2006
Last updated
07/08/2007
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