1598029084

Everything you always wanted to know about DR. SHATTUCK BRAD D.O. but were afraid to ask.

DR. SHATTUCK BRAD D.O.

You can also download the this 1598029084 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider First Name Provider Credential
DR. SHATTUCK BRAD D.O.
Gender:
Male
Enumeration date:
2012-06-28
Last update date:
2018-02-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
2084P0800X Psychiatry MA 261480 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 8572888342
Practice Location Address Telephone Number 8572888342
Mailing Address Fax Number 8881605204
Practice Location Address Fax Number 8881605204

Addresses

Type Address City State Postal Country
Mailing Address 800 BOYLSTON ST. 16TH FLOOR BOSTON MA 2199 MA
Practice Location Address 800 BOYLSTON ST. 16TH FLOOR BOSTON MA 2199 MA

Other NPI Records that share an address

NPI Name Address State City
1811206444 BOYCE, AMY
Individual
800 BOYLSTON ST. MA BOSTON
1861773939 MARIA E. CARDENAS, D.M.D., P.C
Organization
800 BOYLSTON ST. MA BOSTON