Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | D0071287 | MD |
NPI | 1003850108 |
---|---|
Provider Name | Dr. Philip E Shaheen |
First Address | Boston, MA 02241-8953 |
Second Address | Baltimore, MD 21204-6808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 30/08/2012 |