Individual
JACK P SHONKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 CHURCH ST, CAMBRIDGE, MA 02138-3726
(617) 496-1224
Mailing address
505 TREMONT ST, BOSTON, MA 02116-6398
(617) 496-1224
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37874
MA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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