Individual
DR. STANLEY YANG SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT STREET, YAW 5 CARDIAC UNIT ASSOCIATES, BOSTON, MA 02114-2696
(617) 724-6750
(617) 724-6767
Mailing address
375 BOYLSTON ST, BROOKLINE, MA 02445-6007
(857) 307-0896
(857) 307-0899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204785
MA
207RC0000X
Cardiovascular Disease Physician
Primary
204785
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204785
TUFTS HEALTH PLAN
MA
05
—
3208354
—
MA
01
—
J22338
BCBS
MA
Enumeration date
08/21/2006
Last updated
09/26/2018
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