Individual
SHAUN MICHAEL FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 BREWSTER ST, FCC A, PAWTUCKET, RI 02860
(401) 729-2304
(401) 729-2541
Mailing address
111 BREWSTER ST, FCC C, PAWTUCKET, RI 02860
(401) 729-2769
(401) 729-2772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LP0414
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP04114
STATE OF RHODE ISLAND
RI
Enumeration date
06/21/2017
Last updated
06/16/2018
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