Most Relevant Information
Provider Data
| NPI Number: | 1003435405 |
| Provider Name: | SHALYNN DOHERTY |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2020 |
| Last Updated: | 04/15/2020 |
Provider Practice Location
55 FRUIT ST
BOSTON
MA
021142621
Practice Location Phone/Fax
| Phone: | 6177262000 |
| Fax: |
Provider Mailing Location
132 FARMERSVILLE RD
SANDWICH
MA
025632690
Provider Mailing Phone/Fax
| Phone: | 7742382522 |
| Fax: |