Individual
STEPHANIE ROSENBLOOM SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, DEPARTMENT OF PEDIATRICS, WASHINGTON, DC 20007-2113
(202) 444-5437
(202) 444-2961
Mailing address
3800 RESERVOIR RD NW, DEPARTMENT OF PEDIATRICS, WASHINGTON, DC 20007-2113
(202) 444-5437
(202) 444-2961
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
D0077718
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2011
Last updated
08/14/2017
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