Individual
PRISCILLA MOUTINHO SHOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5 SILENTWOOD CT, OWINGS MILLS, MD 21117-1358
(215) 917-5011
Mailing address
5 SILENTWOOD CT, OWINGS MILLS, MD 21117-1358
(215) 917-5011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H006810
MD
207P00000X
Emergency Medicine Physician
OT011586
PA
Other
Enumeration date
12/24/2007
Last updated
04/14/2010
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