Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 32684 | MA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 32684 | MA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 32684 | MA |
NPI | 1265408462 |
---|---|
Provider Name | William D. Shea |
First Address | Chestnut Hill, MA 02467-2503 |
Second Address | Chestnut Hill, MA 02467-2503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 18/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0101931 | (05) | MA |
032384 | TUFTS HEALTH PLAN (01) | MA |
17755 | HARVARD PILGRIM (01) | MA |
2504746 | AETNA (01) | MA |
26525 | FALLON COMM HEALTH PLAN (01) | MA |
B75692 | (02) | MA |
M07902 | BLUE CROSS BLUE SHIELD (01) | MA |