Individual
DR. JEROME M SHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-2300
Mailing address
11821 WINTERSET TER, POTOMAC, MD 20854-2847
(301) 518-2620
(301) 738-9295
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
D0033458
MD
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
D33458
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100451400
—
MD
01
—
511840A77
MEDICARE ID-TYPE UNSPECIFIED
—
Enumeration date
06/16/2005
Last updated
01/31/2013
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