Provider Demographics
NPI:1770714651
Name:DUIGENAN, SHAUNA (MD)
Entity type:Individual
Prefix:DR
First Name:SHAUNA
Middle Name:
Last Name:DUIGENAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 PHILLIPS ST APT 10
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3458
Mailing Address - Country:US
Mailing Address - Phone:857-366-0138
Mailing Address - Fax:
Practice Address - Street 1:MASSACHUSETTS GENERAL HOSPITAL ABDOMINAL RADIOLOGY
Practice Address - Street 2:55 FRUIT STREET WHITE BLDG 270
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3458
Practice Address - Country:US
Practice Address - Phone:617-726-8396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2395302085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging