Individual
MARK SHELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1413 RESEARCH BLVD, BLDG 102, ROCKVILLE, MD 20850-3159
(301) 319-0000
Mailing address
1413 RESEARCH BLVD, BLDG 102, ROCKVILLE, MD 20850-3159
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
0102200835
VA
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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