Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 213906 | MA |
N | 111NI0900X | Internist | 213906 | MA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MS0470752A | MA |
NPI | 1093705436 |
---|---|
Provider Name | Dr. David A Shaywitz |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2100924 | (05) | MA |
468070 | TUFTS HEALTH PLAN (01) | MA |
I32941 | (02) | |
J28571 | BCBS MA (01) | MA |