Individual
DR. JERI SHUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11085 LITTLE PATUXENT PKWY, SUITE 204, COLUMBIA, MD 21044-2979
(410) 730-5700
(410) 964-3231
Mailing address
11085 LITTLE PATUXENT PKWY, SUITE 204, COLUMBIA, MD 21044-2979
(410) 730-5700
(410) 964-3231
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D34215
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476091300
—
MD
Enumeration date
10/26/2005
Last updated
11/07/2011
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