Individual
SHAWN MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 582-8487
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015946
NY
363A00000X
Physician Assistant
0960
NH
363A00000X
Physician Assistant
PA4899
MA
Other
Enumeration date
09/05/2012
Last updated
03/13/2014
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