Organization
SS OBGYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIMON SEGAL MD (PHYSICIAN)
(617) 416-1611
Entity
Organization
Contact information
Practice address
70 WALNUT ST STE 101, WELLESLEY HILLS, MA 02481-2137
(617) 340-6449
Mailing address
70 WALNUT ST STE 101, WELLESLEY HILLS, MA 02481-2137
(617) 340-6449
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
82166
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008402
MEDICARE PTAN
MA
01
—
M17654
BCBS
MA
Enumeration date
02/28/2008
Last updated
10/08/2021
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