Individual
SHANNON ROBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
550 VICTORY RD APT 436, QUINCY, MA 02171-3169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA102032
MA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
10/22/2025
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