Individual
SHANSHAN BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 SEYMOUR ST STE 200, HARTFORD, CT 06106-5509
(860) 246-6589
Mailing address
111 FOUNDERS PLAZA, STE 400, EAST HARTFORD, CT 06108
(860) 289-3375
(860) 783-5733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
270749
MA
2085R0202X
Diagnostic Radiology Physician
Primary
56309
CT
2085R0202X
Diagnostic Radiology Physician
A128667
CA
Other
Enumeration date
06/24/2009
Last updated
03/17/2018
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