Individual
DR. BRETT ANTHONY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 OLD LANCASTER RD STE 250, BRYN MAWR, PA 19010-3239
(610) 542-3300
(610) 542-3320
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4200
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
280257
MA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD470608
PA
Other
Enumeration date
06/19/2013
Last updated
08/13/2020
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