Individual
SHAWN M MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
580 E RITCHIE HWY, SEVERNA PARK, MD 21146
(410) 544-7417
(410) 544-4408
Mailing address
1440 RIVERSIDE AVE, BALTIMORE, MD 21230
(646) 483-9295
(410) 544-4408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2008
MD
152WC0802X
Corneal and Contact Management Optometrist
TA2008
MD
Other
Enumeration date
10/02/2006
Last updated
01/28/2015
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