Individual
MATTHEW SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-8878
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(203) 785-7890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1022723
MA
2086S0120X
Pediatric Surgery Physician
Primary
1022723
MA
Other
Enumeration date
06/01/2016
Last updated
12/18/2025
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