Individual
SHAUNNA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLINTON ST, WOONSOCKET, RI 02895
(401) 767-4100
(401) 235-6896
Mailing address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
(401) 235-6896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
286921
NY
207Q00000X
Family Medicine Physician
Primary
66895
CT
207Q00000X
Family Medicine Physician
MD16214
RI
Other
Enumeration date
06/17/2015
Last updated
03/07/2022
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