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Individual

DR. SAMUEL D. SLAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 ALBANY ST, SUITE 7B, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-7490
(617) 648-0515
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
281460
MA
207R00000X
Internal Medicine Physician
281460
MA
207RC0000X
Cardiovascular Disease Physician
Primary
281460
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110125815A
MA
05
3148553
NH
Enumeration date
06/22/2017
Last updated
05/08/2026
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