Shih, Vivian E

Shih, Vivian E is an individual health care provider with primary practice located at 55 Fruit St Yaw 6 Pediatric Medicine, Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics is her primary health care specialty. Shih, Vivian E can be contacted via phone (617) 726-3884.

Contact Information

Primary practice address
55 Fruit St Yaw 6 Pediatric Medicine Boston MA 02114-2696
Fax: (617) 726-5739
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics 207SG0202X 31003 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31003 Massachusetts

Profile Details

NPI number 1285600650
LBN Legal business name Shih, Vivian E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285600650 NPPES
Massachusetts Other M07322 BCBS MA
Massachusetts MEDICAID 0180572 BCBS MA
Massachusetts Other 031003 BCBS MA

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