Individual
SHANNON MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 SILVER ST, MIDDLETOWN, CT 06457-3946
(860) 852-1064
Mailing address
1250 SILVER ST, MIDDLETOWN, CT 06457-3946
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
052473
CT
Other
Enumeration date
01/31/2011
Last updated
11/16/2022
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