Individual
DR. ALAN R SHULDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-1623
(410) 706-1622
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 706-1623
(410) 706-1622
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D34686
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000912601
—
DE
01
—
351661-01
BLUE CROSS/BLUE SHIELD
MD
05
—
480871100
—
MD
Enumeration date
06/12/2006
Last updated
11/22/2010
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