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Individual

DR. JOSHUA ROGER DISHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 E UNIVERSITY PKWY, 33RD STREET PROFESSIONAL BUILDING -- SUITE 226, BALTIMORE, MD 21218-2829
(410) 554-6559
Mailing address
121 OSBORNE AVE, CATONSVILLE, MD 21228-4937
(443) 904-2026

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0066678
MD
208000000X
Pediatrics Physician
D0066678
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019916800
MD
Enumeration date
02/01/2007
Last updated
01/21/2011
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