Individual
DR. SHANE O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
62 BROWN ST STE 304C, HAVERHILL, MA 01830-6790
(978) 691-5690
(978) 216-4618
Mailing address
PO BOX 412012, BOSTON, MA 02241-2012
(978) 691-5691
(978) 216-4618
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
290513
MA
207N00000X
Dermatology Physician
63113
MN
Other
Enumeration date
04/09/2014
Last updated
11/05/2021
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