Provider Demographics
NPI:1699271189
Name:SHAW, DANIEL LEONARD (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:LEONARD
Last Name:SHAW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 DEACONESS RD
Mailing Address - Street 2:ROSENBERG BUILDING, 2ND FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 DEACONESS RD
Practice Address - Street 2:ROSENBERG BUILDING, 2ND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5321
Practice Address - Country:US
Practice Address - Phone:617-754-2339
Practice Address - Fax:617-754-2350
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2022-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA286435207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine