Provider Demographics
NPI:1285683367
Name:OGINO, SHUJI (MD PHD)
Entity Type:Individual
Prefix:
First Name:SHUJI
Middle Name:
Last Name:OGINO
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:111 CYPRESS ST
Mailing Address - Street 2:BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445
Mailing Address - Country:US
Mailing Address - Phone:617-582-1200
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET AMORY 3
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF PATHOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-7510
Practice Address - Fax:617-277-9015
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA212735207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology