Individual
DR. SHANE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-1152
Mailing address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-1152
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
A138026
CA
208D00000X
General Practice Physician
A138026
CA
Other
Enumeration date
06/16/2014
Last updated
10/29/2024
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