Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | L-244125 | MA |
N | 111NI0900X | Internist | L-244125 | MA |
Y | 207RX0202X | Medical Oncology | 251127 | MA |
NPI | 1063733236 |
---|---|
Provider Name | Meghan E Shea |
First Address | Boston, MA 02215 |
Second Address | Boston, MA 02215-5400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 16/01/2019 |