Paul Clarke Shellito in Boston - Surgery
Paul Clarke Shellito - NPI 1952391500
Paul Clarke Shellito is a Surgery in Boston, Massachusetts. Paul Clarke Shellito practices all healthcare services and medical treatments related to Surgery. The NPI Number for Paul Clarke Shellito is 1952391500. The last update date is 2007-07-08.
Paul Clarke Shellito's current location address is 15 Parkman St, Boston, Massachusetts. You can contact this provider via phone number 6177240365 and fax number 6177243943. The mailing address for Paul Clarke Shellito is 15 Parkman St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Clarke Shellito |
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Address | 15 Parkman St, Boston, Massachusetts |
Phone Number | 6177240365 |
Fax Number | 6177243943 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1952391500 |
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Provider Enumeration Date | 2005-10-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 15 Parkman St |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 21143117 |
Phone Number | 6177240365 |
Fax Number | 6177243943 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 49343 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6199267 | MA | -- | |
714301 | MA | TUFTS HEALTH PLAN | |
E05768 | MA | BCBS MA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Paul Clarke Shellito by the Centers for Medicare & Medicaid Services?
The Paul Clarke Shellito has been assigned the NPI (National Provider Identifier) 1952391500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Paul Clarke Shellito's facilities are situated?
The facilities of Paul Clarke Shellito are physically located at the following address: 15 Parkman St, Boston, MA, 21143117.
What is Paul Clarke Shellito's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paul Clarke Shellito is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952391500 to Paul Clarke Shellito?
The Paul Clarke Shellito received its 1952391500 assignment from the Centers for Medicare & Medicaid Services on 2005-10-25.
When was the information regarding Paul Clarke Shellito, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Clarke Shellito, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.