Individual
DENISE R SHIU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 MAIN ST, WALPOLE, MA 02081-1718
(508) 668-2200
(508) 668-6539
Mailing address
1350 MAIN ST, WALPOLE, MA 02081-1718
(508) 668-2200
(508) 668-6539
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
156761
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156761
MEDICAL LICENSE #
—
01
—
201802
HPHC
—
01
—
2051898
AETNA/US HEALTHCARE HMO
—
01
—
3182649
MEDICAID
MA
05
—
3182649
—
MA
01
—
32586
CMSP/HSP
—
01
—
5425228
CIGNA
—
01
—
5897661
AETNA/US HEALTHCARE
—
01
—
792143
TUFTS
—
01
—
J19032
BCBS
MA
01
—
P2772810
OXFORD
—
Enumeration date
08/09/2005
Last updated
07/08/2007
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