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Individual

DR. HEIDI LEIGH SHAFF

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 WILLARD ST, QUINCY, MA 02169-1200
(617) 472-6100
(617) 770-3758
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
216285
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2022168
MA
01
468517
TUFTS HEALTH PLAN
MA
01
J26800
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
07/08/2007
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