Individual
DR. MARYANN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
103 MILLBURY ST, AUBURN, MA 01501-3205
(508) 721-4100
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152782
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3167216
—
MA
Enumeration date
11/10/2005
Last updated
04/21/2009
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