Individual
DR. MARY S. SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
402 TIDAL DRIVE, LOVELADIES, NJ 08008
(609) 494-1599
Mailing address
402 TIDAL DRIVE, LOVELADIES, NJ 08008
(609) 494-1599
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA05777900
NJ
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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