Healthcare Provider Details

I. General information

NPI: 1598723637
Provider Name (Legal Business Name): JOSEPH FRANCIS SHALHOUB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CUMMINGS CENTER SUITE 207T
BEVERLY MA
01915-6121
US

IV. Provider business mailing address

900 CUMMINGS CENTER SUITE 207T
BEVERLY MA
01915-6121
US

V. Phone/Fax

Practice location:
  • Phone: 978-949-8686
  • Fax: 978-921-1098
Mailing address:
  • Phone: 978-949-8686
  • Fax: 978-921-1098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number150069
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: