MEDICARE: ANNE C. SHIH PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA1063	MA

General Provider Information

NPI Number	:	1578539623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE C. SHIH PA-C

Provider Business Mailing Address
First Line	:	200 MILL RD
Second Line	:	SUITE 180
City	:	FAIRHAVEN
State	:	MA
Zip	:	02719-5252
Country	:	US
Telephone Number	:	508-973-2000
Fax Number	:	508-973-2001

Provider Business Practice Location Address
First Line	:	300A FAUNCE CORNER RD
Second Line	:
City	:	NORTH DARTMOUTH
State	:	MA
Zip	:	02747-1280
Country	:	US
Telephone Number	:	508-973-9050
Fax Number	:	508-999-5151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	06/06/2024

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