Organization
LETITIA W. SHORT M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETITIA W. SHORT M.D. (PHYSICIAN)
(410) 337-2707
Entity
Organization
Contact information
Practice address
901 DULANEY VALLEY RD, DULANEY CENTER II, SUITE #101, TOWSON, MD 21204-2600
(410) 337-2707
(410) 337-2841
Mailing address
901 DULANEY VALLEY RD, DULANEY CENTER II, SUITE #101, TOWSON, MD 21204-2600
(410) 337-2707
(410) 337-2841
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
D0061184
MD
Other
Enumeration date
08/28/2008
Last updated
12/18/2014
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