Individual
DANIELLE A SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 MARKET ST FL 2, LYNNFIELD, MA 01940-4048
(781) 213-4040
Mailing address
480 MAPLE ST, DANVERS, MA 01923-4065
(978) 304-8380
(978) 304-8389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
273530
MA
390200000X
Student in an Organized Health Care Education/Training Program
264751
MA
Other
Enumeration date
06/25/2015
Last updated
01/04/2021
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