Individual
ELIZABETH A SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
454 OLD STREET RD, SUITE 106, PETERBOROUGH, NH 03458-1200
(603) 924-7101
(603) 924-3569
Mailing address
452 OLD STREET RD, PETERBOROUGH, NH 03458-1263
(603) 924-7191
(603) 924-3569
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12079
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30203795
—
NH
Enumeration date
06/08/2006
Last updated
07/08/2007
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