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Individual
DR. DARYL ISHAQ SHORTER
Active
Individual
DR. DARYL ISHAQ SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
57.006050
OH
2084P0802X
Addiction Psychiatry Physician
Primary
244848
NY
Other
Enumeration date
04/16/2007
Last updated
05/09/2008
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