Provider Demographics
NPI:1811512627
Name:NAWROCKI, SHIRI (MD)
Entity type:Individual
Prefix:DR
First Name:SHIRI
Middle Name:
Last Name:NAWROCKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 STUART ST STE 404
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-5019
Mailing Address - Country:US
Mailing Address - Phone:857-317-2057
Mailing Address - Fax:
Practice Address - Street 1:441 STUART ST STE 404
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-5019
Practice Address - Country:US
Practice Address - Phone:857-317-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1018446207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology