Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 260938 | MA |
Y | 2080P0204X | Pediatric Emergency Doctor | 260938 | MA |
NPI | 1316198773 |
---|---|
Provider Name | Dr. Zohar Shamash |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01655-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2008 |
Last Update Date | 18/04/2017 |