Individual
DR. MARSHA ROSAURA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702
(301) 662-8119
(240) 439-8910
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8913
(240) 439-8910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0069423
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2009
Last updated
11/04/2021
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