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
Gender :Female
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
Phone Number :781-329-1400
Fax Number :781-278-5667
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
NPI Entity Type : Individual
First Enrolment Date : 07 Jul, 2005
Last Updated On : 08 Jul, 2007
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes206175MA
Legacy Identifiers:
Other legacy medical identifiers of Theresa L Shanahan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
206175OtherTUFTS COMMONWEALTH PPO
204130OtherFIRST SENIORITY
0023152OtherNEIGHBORHOOD HEALTH
0141330OtherMASS HEALTH
204130OtherHARVARD PILGRIM PPO
204130OtherHARVARD PILGRIM
206175OtherTUFTS
27697OtherCHILDREN'S MED SECURITY
2780341OtherCIGNA HEALTH CARE
2780341OtherMAHEALTHSOURCE
J23933OtherHMO BLUE/BLUE CHOICE
206175OtherTUFTS TOTAL HEALTH PLAN
J23933OtherBS-BLUE CARE ELECT
J23933OtherBLUE SHIELD INDEMNITYY
1240820OtherUNITED HEALTHCARE
204130OtherHARVARD 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
Phone Number :781-329-1400
Fax Number :781-278-5667
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. Last updated on 08 January, 2024.