Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 0017518 | MA |
NPI | 1053342642 |
---|---|
Provider Name | Dr. Maureen Ann Quinn-Sheehan |
First Address | Westfield, MA 01085-4596 |
Second Address | Chicopee, MA 01020-3960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/07/2007 |