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Individual

DR. HIROSHI MASHIMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
1400 VFW PKWY, RES 151 BLD 3, W ROXBURY, MA 02132
(857) 203-5640
(857) 203-5666
Mailing address
1400 VFW PKWY, RES 151 BLD 3, W ROXBURY, MA 02132
(857) 203-5640
(857) 203-5666

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
73215
MA
207RG0100X
Gastroenterology Physician
Primary
73215
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
#3139492
MA
Enumeration date
09/05/2006
Last updated
03/20/2020
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