Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 283435 | MA |
N | 207YP0228X | Pediatric Otolaryngology | 283435 | MA |
NPI | 1457765224 |
---|---|
Provider Name | Aiden Eliot Shearer |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2014 |
Last Update Date | 16/07/2020 |