Organization
SHERIDAN PULMONARY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN JEROME SHERIDAN MD (PRESIDENT)
(410) 687-6622
Entity
Organization
Contact information
Practice address
6830 HOSPITAL DR, SUITE 102, BALTIMORE, MD 21237-4373
(410) 687-6622
(410) 687-7039
Mailing address
6830 HOSPITAL DR, SUITE 102, BALTIMORE, MD 21237-4373
(410) 687-6622
(410) 687-7039
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D21846
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256331200
—
MD
Enumeration date
01/13/2010
Last updated
01/13/2010
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