Individual
DR. MARY THERESA SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S. GREENE STREET, BALTIMORE, MD 21264-0001
(410) 328-5196
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D46410
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003461400
—
MD
01
—
543855-03
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
06/08/2006
Last updated
02/02/2009
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