Individual
DR. JOHN MARTIN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(718) 245-4110
(718) 245-3592
Mailing address
451 CLARKSON AVE BLDG 9TH, BROOKLYN, NY 11203-2054
(718) 245-4110
(718) 245-3592
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
286086
NY
208800000X
Urology Physician
ME128662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018424500
—
FL
Enumeration date
04/09/2010
Last updated
12/07/2018
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