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Individual

MICHAEL S SHUSTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 493-3620
(781) 461-9210
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 493-3620
(781) 461-9210

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
160164
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0018167
NEIGHBORHOOD HEALTH PLAN
01
1240697
UNITED HEALTHCARE(PPO)
01
1545423
HEALTHSOURCE
MA
01
1545423
CIGNA HEALTH CARE
01
160164
TUFTS COMMONWEALTH PRO
01
202046
HARVARD PILGRIM POS
01
27712
CHILDREN'S MEDICAL SECURI
01
3194647
MASS HEALTH
01
A29870
MEDICARE
01
J21503
HMO BLUE/BLUE CHOICE
01
MH1549
FIRST SENIORITY
Enumeration date
06/27/2005
Last updated
03/07/2021
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