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Shanna M Gannon, PA-C
Surgical Physician Assistant in Hamden, Connecticut
NPI 1639403892

Shanna M Gannon is a Surgical Physician Assistant based in Hamden, CT and is specialized in Surgical. Shanna M Gannon practices in Hamden, CT and has the professional credentials of PA-C. The NPI Number for Shanna M Gannon is 1639403892 and holds a License No. 2318 (Connecticut).

The current practice location address for Shanna M Gannon is 2200 Whitney Ave Ste 270, Hamden, CT and can be reached out via phone at 203-281-7000.

Location: 2200 Whitney Ave Ste 270, Hamden, CT, 06518-3694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639403892
Provider Name
Shanna M Gannon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2200 Whitney Ave Ste 270, Hamden, CT, 06518-3694
Phone Number
203-281-7000
Fax Number
Provider Enumeration Date
09/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003023181 05 CT
institution
Provider Business Practice Location Address Details
Address
2200 Whitney Ave Ste 270
City
Hamden
State
Connecticut
Zip
06518-3694
Phone Number
203-281-7000
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Whitney Ave Ste 270
City
Hamden
State
Connecticut
Zip
06518-3694
Phone Number
203-281-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
2318 (Connecticut)
Definition
Definition to come...
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