Individual
JOHN A SHUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 E FREDERICK ST, WALKERSVILLE, MD 21793-8234
(301) 898-5200
(301) 898-5230
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8812
(301) 898-5230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0030020
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378781800
—
MD
Enumeration date
06/15/2005
Last updated
05/20/2020
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