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Individual

AILEEN SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
110 COMMERCE DR, SHELTON, CT 06484-6244
(203) 929-7331
(203) 925-0330
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6854
CT

Other

Enumeration date
02/16/2023
Last updated
11/27/2024
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