Individual
PAULINE Q SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS/ADOLESCENT MEDICINE, WORCESTER, MA 01655-0002
(508) 856-5695
(508) 856-8045
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
50604
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
50604
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005551
—
MA
Enumeration date
10/11/2006
Last updated
08/08/2011
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