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NPI Code Detail

MEDICARE: DR. ALEXEI SHIMANOVSKY M.D.,

MEDICARE: DR. ALEXEI SHIMANOVSKY M.D.,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianMD16121RI
2207RH0000XHematology (Internal Medicine) Physician1015150MA
3207RX0202XMedical Oncology Physician1015150MA

General Provider Information

NPI Number : 1699054924
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXEI SHIMANOVSKY M.D.,
Provider Business Mailing Address
First Line : 20 PROSPECT ST
Second Line :
City : MILFORD
State : MA
Zip : 01757-3042
Country : US
Telephone Number : 508-448-3700
Fax Number : 508-488-2016
Provider Business Practice Location Address
First Line : 20 PROSPECT ST
Second Line :
City : MILFORD
State : MA
Zip : 01757-3042
Country : US
Telephone Number : 508-448-3700
Fax Number : 508-488-2016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 08/03/2023

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