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1295269736
SHANE MICHAEL DAVIS
BOSTON, MA
NPI
1295269736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: MA 292836)
Enumeration Date
2017-04-11
Last Update Date
2022-11-15
Business Address
Dr. SHANE MICHAEL DAVIS MD
800 WASHINGTON ST
BOSTON, MA 02111-1552
Phone number: 617-636-5631
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Mailing Address
Dr. SHANE MICHAEL DAVIS MD
800 WASHINGTON ST # 306
BOSTON, MA 02111-1552
Phone number:
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