Provider Demographics
NPI:1952554636
Name:FINNEGAN, SHAWN B (PA-C, MBA)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:B
Last Name:FINNEGAN
Suffix:
Gender:M
Credentials:PA-C, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 HOSPITAL AVE.
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810
Mailing Address - Country:US
Mailing Address - Phone:203-792-2003
Mailing Address - Fax:203-739-8926
Practice Address - Street 1:33 HOSPITAL AVE.
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810
Practice Address - Country:US
Practice Address - Phone:203-792-2003
Practice Address - Fax:203-739-8926
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002188363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical