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1417021684
DERRI SHTASEL
BOSTON, MA
NPI
1417021684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 158370)
Enumeration Date
2006-11-20
Last Update Date
2009-08-18
Business Address
-- DERRI SHTASEL MD
15 PARKMAN ST, WAC 812 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Phone number: 617-643-4340
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Mailing Address
-- DERRI SHTASEL MD
15 PARKMAN ST, WAC 812 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114-1047
Phone number: 617-643-4340
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