Individual provider · Type 1 NPI

Joanne Omalley Shepard, MD

Diagnostic Radiology Physician · Boston, MA

NPI number 1083605638 Active

Practice location

55 Fruit Street, Fnd 2
Boston, MA 02114-2696

Fax (617) 724-0046

Mailing address

PO Box 9142, Mass General Physician Organization
Charlestown, MA 02129-9142

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X43700 (MA)
Diagnostic Radiology Physician 2085R0202X211708 (NY)
Diagnostic Radiology Physician 2085R0202X014403 (ME)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1083605638

Joanne Omalley Shepard, MD's National Provider Identifier is 1083605638, issued on Nov 2, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Aug 9, 2012.