Individual
MARK SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42 LINCOLN AVE, BARRINGTON, RI 02806-2136
(401) 246-0389
Mailing address
42 LINCOLN AVE, BARRINGTON, RI 02806-2136
(401) 246-0389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD7250
RI
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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