Individual
RONALD SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4701 RANDOLPH RD, SUITE 201, ROCKVILLE, MD 20852-2257
(410) 872-9188
Mailing address
4701 RANDOLPH RD, SUITE 201, ROCKVILLE, MD 20852-2257
(410) 872-9188
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D20596
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52494004
CAREFIRST BCBS MD
MD
01
—
6792001
CAREFIRST BCBSDC
DC
Enumeration date
06/30/2006
Last updated
10/19/2007
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