Individual
EDWARD SHASHOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1628
(617) 661-6225
(617) 492-2002
Mailing address
2500 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1628
(617) 661-6225
(617) 492-2002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
217054
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020351
—
MA
Enumeration date
07/19/2006
Last updated
09/14/2011
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