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Individual

DR. DAVID A SHAYWITZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
0 EMERSON PL, STE 112, NEUROENDOCRINE, BOSTON, MA 02114-2241
(617) 726-7948
(617) 726-1241
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
213906
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MS0470752A
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2100924
MA
01
468070
TUFTS HEALTH PLAN
MA
01
J28571
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
09/11/2025
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