Organization
SHORE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIMA CHEEMA MD (OWNER)
(410) 443-7060
Entity
Organization
Contact information
Practice address
511 GRAND CYPRESS CT, ASHTON, MD 20861-8019
(410) 463-3705
Mailing address
511 GRAND CYPRESS CT, ASHTON, MD 20861-8019
(410) 463-3705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099149000
—
MD
Enumeration date
03/09/2020
Last updated
04/26/2023
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