DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON F.R. SMALL, MD

Active

SHANNON F.R. SMALL, MD is a Surgical Critical Care healthcare provider located in NEW LONDON, Connecticut. NPI 1932360161 is currently active in the NPPES registry. Verify at CMS.

Surgical Critical Care · NEW LONDON, CT

Registration Details

NPI Number
1932360161
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2008 (18.176325937726 yrs)
Last Updated
Nov 11, 2024
Licenses
036143686 (IL)
0101249001 (VA)
79645 (CT)

Practice Information

Address
365 MONTAUK AVE
NEW LONDON, CT, 063204700
Browse CT providers · Browse ZIP 06320
Phone
8604433147
Fax
8608652395
Primary Specialty
Surgical Critical Care
2086S0102X
Additional Specialty
Surgical Critical Care
Additional Specialty
Surgical Critical Care

Other Surgical Critical Care Providers in NEW LONDON, CT

Name Credential NPI
ABBY WONG MD 1972967669
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.