Provider Demographics
NPI:1699851154
Name:SHIPP, MARGARET ANN (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANN
Last Name:SHIPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:44 BINNEY STREET
Mailing Address - Street 2:MAYER 513
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-3874
Mailing Address - Fax:617-632-4734
Practice Address - Street 1:44 BINNEY STREET
Practice Address - Street 2:MAYER 513
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-3874
Practice Address - Fax:617-632-4734
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA52610207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2067541OtherAETNA US HEALTHCARE
729851OtherTUFTS
J09735OtherBLUE CROSS BLUE SHIELD OF
3040006OtherUNITED HEALTH CARE
2970077OtherCIGNA
47304OtherFALLON COMMUNITY HEALTH P
MA3058719Medicaid
E50263DFOtherHPHC
2067541OtherAETNA US HEALTHCARE
3040006OtherUNITED HEALTH CARE