Individual
ADAM MICHAEL SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4547
(410) 701-4342
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 701-4547
(410) 701-4342
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R149638
MD
Other
Enumeration date
10/07/2011
Last updated
03/20/2013
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