Most Relevant Information
Provider Data
| NPI Number: | 1003264854 |
| Provider Name: | MATTHEW SHAUGHNESSY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/01/2016 |
| Last Updated: | 06/01/2016 |
Provider Practice Location
330 CEDAR ST
YNHH- DEPT OF SURGERY
NEW HAVEN
CT
065103218
Practice Location Phone/Fax
| Phone: | 2037857890 |
| Fax: |
Provider Mailing Location
330 CEDAR STREET
YNHH- DEPT OF SURGERY
NEW HAVEN
CT
065208062
Provider Mailing Phone/Fax
| Phone: | 2037857890 |
| Fax: |