Individual
SHANNON R CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
153 OLD OAKEN BUCKET RD, NORWELL, MA 02061-1320
(781) 985-2661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9232
MA
Other
Enumeration date
09/20/2021
Last updated
02/17/2023
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