Organization
SHORE SURGICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY MERCER BYSSHE JR. MD (SENIOR PARTNER)
(410) 822-4553
Entity
Organization
Contact information
Practice address
505 DUTCHMANS LN, BUILDING B, EASTON, MD 21601-4302
(410) 822-4553
(410) 770-7611
Mailing address
505 DUTCHMANS LN, BUILDING B, EASTON, MD 21601-4302
(410) 822-4553
(410) 770-7611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E481
CAREFIRST BLUECHOICE
MD
Enumeration date
11/11/2005
Last updated
08/22/2020
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