Individual
MS. CHRISTINE K. SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 CROSS ST, NORWALK, CT 06851-4647
(203) 663-7978
Mailing address
40 CROSS ST, STE 200, NORWALK, CT 06851-4647
(203) 845-2160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002801
CT
363A00000X
Physician Assistant
015868
NY
Other
Enumeration date
08/27/2012
Last updated
05/08/2020
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