Individual
JOHN SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 COPELAND DR, MANSFIELD, MA 02048-1225
(508) 339-4144
(508) 261-9940
Mailing address
200 COPELAND DR, MANSFIELD, MA 02048-1225
(508) 339-4144
(508) 261-9940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37294
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028125
BMC HEALTHNET
—
01
—
037294
TUFTS
—
01
—
0401171
UHC
—
01
—
203660
RIBCHIP
—
01
—
354
FALLON
—
01
—
6263
HPHC
—
01
—
B10190201
CIGNA
—
01
—
K10014
MABC
MA
Enumeration date
07/26/2006
Last updated
07/08/2007
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