Individual
DR. WILLIAM J SHINE
Active
Individual
DR. WILLIAM J SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
71546
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024703
NEIGHBORHOOD HEALTH PLAN
MA
01
—
060049122
RR MEDICARE
—
01
—
14115
FALLON
—
05
—
3061485
—
MA
01
—
3954
HPHC
—
01
—
732036
TUFTS
—
01
—
J09850
BCBS
MA
Enumeration date
03/16/2006
Last updated
04/14/2022
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