Individual
STACEY SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 LOW ST, NEWBURYPORT, MA 01950-3556
(968) 465-7121
Mailing address
257 LOW ST, NEWBURYPORT, MA 01950-3556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79918
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3189589
—
MA
Enumeration date
08/30/2006
Last updated
07/08/2007
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