Theresa L Shanahan
MD | Pediatrics | Female
Theresa L Shanahan, MD is a Dedham, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Theresa L Shanahan is
1 Lyons St, Dedham, Massachusetts - 02026-5599. She can be contacted on phone at
781-329-1400 and fax number 781-278-5667.
Theresa L Shanahan is a sole proprietor of her business.
NPI number (Unique professional ID) for Theresa L Shanahan is
1780681627 which was assigned by NPPES on 07 Jul, 2005 and it was last updated on 08 Jul, 2007.
Theresa L Shanahan license number is
206175 for Pediatrics (208000000X) in Massachusetts.
Theresa L Shanahan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Theresa L Shanahan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Theresa L Shanahan |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Theresa L Shanahan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Lyons St
Dedham, MA, 02026-5599
United States |
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| Phone Number : | 781-329-1400 |
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| Fax Number : | 781-278-5667 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780681627 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theresa L Shanahan are as mentioned. Primary taxonomy code for Theresa L Shanahan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 206175 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Theresa L Shanahan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 206175 | Other | | TUFTS COMMONWEALTH PPO |
| 204130 | Other | | FIRST SENIORITY |
| 0023152 | Other | | NEIGHBORHOOD HEALTH |
| 0141330 | Other | | MASS HEALTH |
| 204130 | Other | | HARVARD PILGRIM PPO |
| 204130 | Other | | HARVARD PILGRIM |
| 206175 | Other | | TUFTS |
| 27697 | Other | | CHILDREN'S MED SECURITY |
| 2780341 | Other | | CIGNA HEALTH CARE |
| 2780341 | Other | MA | HEALTHSOURCE |
| J23933 | Other | | HMO BLUE/BLUE CHOICE |
| 206175 | Other | | TUFTS TOTAL HEALTH PLAN |
| J23933 | Other | | BS-BLUE CARE ELECT |
| J23933 | Other | | BLUE SHIELD INDEMNITYY |
| 1240820 | Other | | UNITED HEALTHCARE |
| 204130 | Other | | HARVARD PILGRIM POS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 9120
Dedham, MA, 02027-9120
United States |
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| Phone Number : | 781-329-1400 |
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| Fax Number : | 781-278-5667 |
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Business Location:
Patients can refer following map for directions to
Theresa L Shanahan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.