Individual
SHANNON GAUDERETO CIARAMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 FRANCIS ST, BOSTON, MA 02215-5501
(617) 632-8383
Mailing address
21 NEILLIAN CRES, BOSTON, MA 02130-2416
(978) 514-1844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
04/24/2026
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