Provider Demographics
NPI:1578520110
Name:SHAY, MARC AARON (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:AARON
Last Name:SHAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:24 MORRILL PLACE
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3530
Mailing Address - Country:US
Mailing Address - Phone:978-388-5700
Mailing Address - Fax:978-388-4052
Practice Address - Street 1:24 MORRILL PLACE
Practice Address - Street 2:AMESBURY PSYCHOLOGICAL INC
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-3530
Practice Address - Country:US
Practice Address - Phone:978-388-5700
Practice Address - Fax:978-388-4052
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2042352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPN0163228Medicaid
MAA31035Medicare ID - Type Unspecified
MAPN0163228Medicaid