Individual
DR. WILLIAM UPJOHN SHIPLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, COX BUILDING 347 LOWER LEVEL YAW 7E, BOSTON, MA 02114-2696
(617) 726-8146
(617) 726-3603
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
2085R0203X
Therapeutic Radiology Physician
Primary
30196
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030196
TUFTS HEALTH PLAN
MA
05
—
3059251
—
MA
01
—
J09213
BCBS MA
MA
Enumeration date
12/14/2005
Last updated
07/08/2007
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