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Individual

JEFFREY ALAN SHIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 LAKE AVENUE NORTH, WORCESTER, MA 01655
(508) 856-3452
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
240448
MA
207RC0000X
Cardiovascular Disease Physician
Primary
240448
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110082932A
MA
Enumeration date
02/04/2008
Last updated
12/29/2020
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