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Organization
RESERVOIR MEDICAL ASSOCIATES, P.C.
Active
Organization
RESERVOIR MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA SHAPIRO MD (OWNER)
(617) 661-4600
Entity
Organization
Contact information
Practice address
725 CONCORD AVE, SUITE 2000, CAMBRIDGE, MA 02138-1040
(617) 661-4600
(617) 547-9170
Mailing address
725 CONCORD AVE, SUITE 2000, CAMBRIDGE, MA 02138-1040
(617) 661-4600
(617) 547-9170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57930
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
609088
TUFTS
MA
05
—
9776036
—
MA
01
—
M16171
BCBS
MA
Enumeration date
05/04/2006
Last updated
01/11/2013
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