Individual
NATASHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1069 BROADWAY, SAUGUS, MA 01906-3210
(781) 233-1450
(781) 233-1100
Mailing address
1069 BROADWAY, SAUGUS, MA 01906
(781) 233-1450
(781) 233-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77788
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3141390
—
MA
Enumeration date
05/25/2006
Last updated
02/02/2012
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