Whalio Doctors

NPI 1316080195

Christopher Joseph Shaw, NP

Practitioner Substance Use Disorder Rehabilitation Hospital Unit Jamaica Plain, MA

Practice location

Address
17 Prince Street Unit 2, Jamaica Plain, MA 02130
Phone
(857) 928-6195
Mailing address
17 Prince St Unit 2, Jamaica Plain, MA 02130-2725

Registered specialties (4)

Substance Use Disorder Rehabilitation Hospital Unit Primary
Hospital Units Taxonomy 276400000X
General Acute Care Hospital
Hospitals Taxonomy 282N00000X Licence 205807 (MA)
Adult Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 205807 (MA)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 205807 (MA)

Registry record

NPI
1316080195
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Feb 2007
Record last updated
7 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.