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Individual

DENA M SELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3455 WILKENS AVE STE 208, BALTIMORE, MD 21229-5265
(410) 644-4320
Mailing address
3455 WILKENS AVE STE 208, BALTIMORE, MD 21229-5265
(410) 644-4320

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0037847
MD
207ZP0213X
Pediatric Pathology Physician
Primary
D0037847
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61489901
BLUE SHIELD
MD
01
W2270021
GHI
DC
Enumeration date
09/28/2006
Last updated
09/11/2025
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