Individual
DR. GILLIAN DOLORES ROSE O'SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 EAST 28TH STREET SUITE # 190, ABBOTT NORTHWESTERN HOSPITALIST SERVICE OF THE AMC, MINNEAPOLIS, MN 55407
(612) 863-5567
Mailing address
504 E 63RD ST, NEW YORK, NY 10065-7919
(612) 961-9387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
278157-1
NY
207R00000X
Internal Medicine Physician
48719
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278157-1
MEDICAL LICENSE
NY
01
—
48719
LICENSE
MN
Enumeration date
11/08/2006
Last updated
10/19/2015
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