Individual
SHANNON M MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 BLOSSOM STREET, COX 3, BOSTON, MA 02114
(617) 724-8196
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-6050
(617) 726-3603
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
223447
MA
Other
Enumeration date
05/03/2006
Last updated
11/30/2012
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