Individual
JOHN SHAW DALTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2W ROLLING CROSSROADS, SUITE 205, CATONSVILLE, MD 21228-6209
(410) 788-8033
(410) 788-8034
Mailing address
2W ROLLING CROSSROADS, SUITE 205, CATONSVILLE, MD 21228-6209
(410) 788-8033
(410) 788-8034
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0030542
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336311200
—
MD
Enumeration date
12/10/2005
Last updated
06/27/2012
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