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1629028709
MARK JEFFREY SHANKMAN
WALTHAM, MA
NPI
1629028709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 49116)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
Dr. MARK JEFFREY SHANKMAN md
9 HOPE AVE
WALTHAM, MA 02453-2741
Phone number: 617-243-5590
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Mailing Address
Dr. MARK JEFFREY SHANKMAN md
190 FOREST AVE
NEWTON, MA 02465-3012
Phone number: 617-332-3584
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