Individual
MR. RUI SHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
88 HOLMES ST, QUINCY, MA 02171-2431
(617) 318-3200
(617) 318-3291
Mailing address
88 HOLMES ST, QUINCY, MA 02171-2431
(617) 318-3200
(617) 318-3291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2291820
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2291820
MA
Other
Enumeration date
03/19/2014
Last updated
07/29/2015
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