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Individual

SUSAN E SHAWVER-MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
106 E MAIN ST, WESTBOROUGH, MA 01581-1417
(508) 898-2338
(508) 366-9938
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 898-2338
(508) 366-9938

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48564
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0186457
MEDICAID WELFARE
05
0186457
MA
01
042472266
THREE RIVERS
01
2039843
FIRST HEALTH
01
27058
HEALTHY START
01
5621538
CIGNA HEALTH PLAN
01
7503630
AETNA US HEALTHCARE
01
784190
MVP HEALTH CARE
01
9900092
FALLON COMMUNITY HEALTH
01
AA1255
HARVARD PILGRIM HEALTH
01
B28053
BLUE SHIELD INDEMNITY
Enumeration date
03/30/2006
Last updated
02/25/2009
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