Individual
WILLIAM D. SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 BOYLSTON ST, SUITE 106, CHESTNUT HILL, MA 02467-2503
(617) 277-1205
(617) 232-6528
Mailing address
830 BOYLSTON ST, SUITE 106, CHESTNUT HILL, MA 02467-2503
(617) 277-1205
(617) 232-6528
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32684
MA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
32684
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
32684
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101931
—
MA
01
—
032384
TUFTS HEALTH PLAN
MA
01
—
17755
HARVARD PILGRIM
MA
01
—
2504746
AETNA
MA
01
—
26525
FALLON COMM HEALTH PLAN
MA
01
—
M07902
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/27/2006
Last updated
07/18/2012
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