Organization
EASTERN SHORE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EPHREM DANIEL MD (OWNER/PRESIDENT)
(410) 219-9111
Entity
Organization
Contact information
Practice address
211 MARYLAND AVE, SALISBURY, MD 21801-5805
(410) 219-9111
(410) 219-2633
Mailing address
211 MARYLAND AVE, SALISBURY, MD 21801-5805
(410) 219-9111
(410) 219-2633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D50140
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055501100
—
MD
05
—
559204600
—
MD
Enumeration date
11/04/2010
Last updated
11/25/2014
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