Individual
DR. THOMAS MATTHEW SHIELDS
Active
Individual
DR. THOMAS MATTHEW SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
260975
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
260975
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100482A
—
MA
Enumeration date
06/26/2008
Last updated
11/09/2020
Update your record
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