Individual
DR. SHANNON M MARCHEGIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
NICU PROFESSIONAL SERVICES, KELLEY 6, 489 STATE STREET, BANGOR, ME 04401
(207) 973-8670
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(240) 994-2612
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101240575
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD22718
ME
Other
Enumeration date
11/30/2006
Last updated
01/24/2019
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