Individual
DR. WEIRU SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1493 CAMBRIDGE ST, SURGERY, CAMBRIDGE, MA 02139-1047
(617) 665-2555
Mailing address
1493 CAMBRIDGE ST, SURGERY, CAMBRIDGE, MA 02139-1047
(617) 665-2555
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
220281
MA
207YX0901X
Otology & Neurotology Physician
220281
MA
207YX0901X
Otology & Neurotology Physician
MD450439
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011586
HIGHMARK
—
01
—
421692
UPMC HEALTH PLAN
—
01
—
7395417
AETNA
—
01
—
8150376
CIGNA
—
01
—
PO1258059
RAILROAD MEDICARE
—
Enumeration date
08/31/2006
Last updated
09/18/2015
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