Barry A Shopnick, pa-c
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1013015437
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013015437
- Entity type
- Individual (NPI-1)
- Name
- Barry A Shopnick
- Credential
- pa-c
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 128 | MA | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
Div Cardiac Surgery Brigham And Women'S Hospital75 Francis St
Boston, MA 02115
Phone 617-732-6660
Mailing address
4 Hawthorne RdWayland, MA 01778-4008
Phone 508-904-1057
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