Individual
JANIS SHAKR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
111 TORREY ST, BROCKTON, MA 02301-4800
(508) 588-1200
(508) 941-0497
Mailing address
111 TORREY ST, BROCKTON, MA 02301-4800
(508) 588-1200
(508) 941-0497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
155706
MA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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