Individual
SHANNON FREEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 852-2000
Mailing address
184 SUMMER ST APT 704, STAMFORD, CT 06901-2352
(203) 984-3641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4387
CT
Other
Enumeration date
02/21/2019
Last updated
08/20/2021
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