Christopher W Shanahan in Mattapan - Addiction Medicine
Christopher W Shanahan - NPI 1730184854
Christopher W Shanahan is a Addiction Medicine in Mattapan, Massachusetts. Christopher W Shanahan practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Christopher W Shanahan is 1730184854. The last update date is 2022-02-02.
Christopher W Shanahan's current location address is 1575 Blue Hill Ave, Mattapan, Massachusetts. You can contact this provider via phone number 6178296006 and fax number 6172965408. The mailing address for Christopher W Shanahan is 1575 Blue Hill Ave, Mattapan, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher W Shanahan |
|---|---|
| Address | 1575 Blue Hill Ave, Mattapan, Massachusetts |
| Phone Number | 6178296006 |
| Fax Number | 6172965408 |
| Sole Proprietor | N |
| Credentials | M.D., M.P. |
NPI Number Detail
| NPI Number | 1730184854 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2022-02-02 |
Provider Mailing Address Detail
| Address | 1575 Blue Hill Ave |
|---|---|
| City | Mattapan |
| State | Massachusetts (MA) |
| Post Code | 212621220 |
| Phone Number | 6178296006 |
| Fax Number | 6172965408 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2083A0300X |
| Licence No | 74099 |
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Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110050376A | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Christopher W Shanahan by the Centers for Medicare & Medicaid Services?
The Christopher W Shanahan has been assigned the NPI (National Provider Identifier) 1730184854 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Christopher W Shanahan's facilities are situated?
The facilities of Christopher W Shanahan are physically located at the following address: 1575 Blue Hill Ave, Mattapan, MA, 212621220.
What is the Christopher W Shanahan's area of specialization and corresponding taxonomy classification?
The Christopher W Shanahan's specialty field is Addiction Medicine, and it falls under the taxonomy code 2083A0300X, which categorizes healthcare providers based on their specialties.
When did the Christopher W Shanahan receive its 1730184854?
The Christopher W Shanahan was issued its 1730184854 on 2005-06-15, which is the date when the organization was assigned this unique identifier.
As of what date were the Christopher W Shanahan's details last updated?
The information pertaining to the Christopher W Shanahan, including its address, specialty, and other details, was most recently updated on 2022-02-02.