Individual
DR. CRAIG SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 PLUMTREE RD, SUITE 115, BEL AIR, MD 21015-6095
(410) 515-4300
(410) 515-4318
Mailing address
1816 MIDSUMMER LN, JARRETTSVILLE, MD 21084-1200
(410) 557-0064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0037078
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033
CAREFIRST DC
—
01
—
026211
JOHNS HOPKINS HEALTHCARE
—
05
—
0403475
—
MD
01
—
115227
COVENTRY
—
01
—
1980529
UNITED HEALTHCARE
—
01
—
2331053
AETNA HMO
—
01
—
281954
MAMSI
—
01
—
3358492
CIGNA
—
01
—
44065401
CAREFIRST MARYLAND
—
01
—
711543
NCPPO
—
01
—
7224098
AETNA PPO
—
05
—
88945
—
MD
01
—
9965
KAISER
—
Enumeration date
07/09/2006
Last updated
07/09/2007
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