Individual
THOMAS D SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BROOKLINE PL, SUITE 506, BROOKLINE, MA 02445-7224
(617) 739-0245
(617) 738-6703
Mailing address
340 MAIN ST, STE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6368
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
77466
MA
207VM0101X
Maternal & Fetal Medicine Physician
77466
MA
2085R0202X
Diagnostic Radiology Physician
77466
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116689
—
MA
Enumeration date
07/12/2005
Last updated
05/08/2014
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