Individual
DR. VIVIAN E SHIH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST YAW 6, PEDIATRIC MEDICINE, BOSTON, MA 02114-2696
(617) 726-3884
(617) 726-5739
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
31003
MA
208000000X
Pediatrics Physician
31003
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180572
—
MA
01
—
031003
TUFTS HEALTH PLAN
MA
01
—
M07322
BCBS MA
MA
Enumeration date
02/27/2006
Last updated
09/11/2025
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