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Individual

EMILY E SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
18 OLD ETNA RD, DERMATOLOGY, LEBANON, NH 03766
(603) 650-3100
Mailing address
ONE MEDICAL CENTER DRIVE, DERMATOLOGY, LEBANON, NH 03756-0001
(603) 650-3100

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
18884
NH
207N00000X
Dermatology Physician
Primary
68676
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033091
VT
05
3113306
NH
Enumeration date
04/17/2014
Last updated
08/10/2021
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