MARK R SHAFER

PROVIDENCE, RI
NPI1780642702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MA  158271)
Enumeration Date2006-05-01
Last Update Date2017-05-04
Business Address
MARK R SHAFER M.D.
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Mailing Address
MARK R SHAFER M.D.
90 ADELINE RD
NEWTON, MA 02459-2705
Phone number: 401-273-7100
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