Individual
SHANNON LEIGH BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 CORPORATE PARK DR, PEMBROKE, MA 02359-1966
(781) 826-8065
(781) 826-8043
Mailing address
77 ACCORD PARK DR STE D4, NORWELL, MA 02061-1652
(781) 826-8065
(781) 826-8043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
274468
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
02/25/2020
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