Provider Demographics
NPI:1558682658
Name:SHLAIN-FRINK, DEBBIE (MD)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:SHLAIN-FRINK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:SHLAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1180 BEACON ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3885
Mailing Address - Country:US
Mailing Address - Phone:617-734-2433
Mailing Address - Fax:617-277-9821
Practice Address - Street 1:1180 BEACON ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3885
Practice Address - Country:US
Practice Address - Phone:617-734-2433
Practice Address - Fax:617-277-9821
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-13
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA244571207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine