Individual
DR. MARILYN D SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 WYMAN PARK DRIVE, SUITE 359A, BALTIMORE, MD 21211
(410) 338-3016
(410) 338-3420
Mailing address
3100 WYMAN PARK DRIVE, SUITE 359A, BALTIMORE, MD 21211
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D30432
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372951600
—
MD
Enumeration date
09/11/2006
Last updated
05/09/2013
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