SHANNON F.R. SMALL

NEW LONDON, CT
NPI1932360161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0102X Surgery, Surgical Critical Care
(Licence: CT  79645)
Additional Taxonomies2086S0102X Surgery, Surgical Critical Care
(Licence: IL  036143686)
2086S0102X Surgery, Surgical Critical Care
(Licence: VA  0101249001)
Enumeration Date2008-06-20
Last Update Date2024-11-11
Business Address
SHANNON F.R. SMALL MD
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-443-3147
Mailing Address
SHANNON F.R. SMALL MD
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-443-3147