Individual
DR. NORBERT JAMES SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MSCD
Contact information
Practice address
599 E BROADWAY, SOUTH BOSTON, MA 02127
(617) 269-3957
(617) 269-8254
Mailing address
599 E BROADWAY, SOUTH BOSTON, MA 02127
(617) 269-3957
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234117
—
MA
05
—
9715738
—
MA
Enumeration date
07/28/2006
Last updated
07/09/2007
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