Individual
MR. WILLIAM EDWIN SHEA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
365 MONTAUK AVE, LAWRENCE AND MEMORIAL HOSPITAL, NEW LONDON, CT 06320-4700
(860) 441-0711
Mailing address
3 MEADOW DR, GALES FERRY, CT 06335-1815
(860) 464-4013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001306
CT
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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