# HEALTHY SHAPES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811280035
- **Authorized official:** DR. ROBERT CADOGAN MD (SOLE PROPRIETOR)
- **Authorized official phone:** (410) 300-4545

## Contact information

- **Practice address:** 10760 HICKORY RIDGE RD, SUITE 125, COLUMBIA, MD 21044-3682
- **Practice address phone:** (410) 300-4545
- **Practice address fax:** (443) 283-4477
- **Mailing address:** PO BOX 2727, COLUMBIA, MD 21045-1727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0051318 | MD | Yes |

## Other

- **Enumeration date:** 05/20/2011
- **Last updated:** 05/20/2011