Provider Information for 1306898259
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BRIAN D SHAMES MD
Sex: Male
NPI: 1306898259
Last Updated: 2022-09-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1306898259 | ||||||||||||||||
| Enumeration Date | 2006-05-17 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 263 FARMINGTON AVE PROVIDER ENROLLMENT OFFICE FARMINGTON, CT 06030-2212 United States Phone: 860-679-7503 | Fax:860-679-1610 | ||||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE GENERAL SURGERY FARMINGTON, CT 06030-6227 United States Phone: 860-679-8080 | Fax:860-679-1420 | ||||||||||||||||
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