Individual
DR. SHANA GLEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 CEDAR ST STE S169, NEW HAVEN, CT 06519-1612
(203) 785-3561
Mailing address
300 CEDAR ST STE S169, NEW HAVEN, CT 06519-1612
(203) 785-3561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP02542
RI
207RI0200X
Infectious Disease Physician
Primary
63867
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2012
Last updated
07/21/2022
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