Individual
DR. MARY J SHROFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 MAIN AVE S, SUITE 115, NORTH BEND, WA 98045-8139
(425) 831-0777
(425) 831-0505
Mailing address
PO BOX 2810, NORTH BEND, WA 98045-2810
(425) 831-0777
(425) 831-0505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00034855
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118496
—
WA
Enumeration date
03/31/2006
Last updated
07/08/2007
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