Individual
SHELLY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, CMSC 2-116, BALTIMORE, MD 21287-2631
(410) 955-1464
(410) 955-8769
Mailing address
600 N WOLFE ST, CMSC 2-116, BALTIMORE, MD 21287-2631
(410) 955-1464
(410) 955-8769
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
290749
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
290749
NY
Other
Enumeration date
06/13/2015
Last updated
12/20/2021
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