Organization
DRS SHANAHAN & FERGUSON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JOSEPH SHANAHAN M.D. (OWNER)
(410) 778-9300
Entity
Organization
Contact information
Practice address
120 SPEER RD, BLDG B, CHESTERTOWN, MD 21620-1044
(410) 778-9300
(410) 778-9579
Mailing address
120 SPEER RD, BLDG B, CHESTERTOWN, MD 21620-1044
(410) 778-9300
(410) 778-9579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054600300
—
MD
Enumeration date
07/05/2006
Last updated
12/22/2014
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