Individual
DR. SHAMUS RUSSELL CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 S GREENE ST, STOLER CANCER PAVILION, BALTIMORE, MD 21201-1504
(410) 332-8663
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4226
(667) 214-1720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
8054539-1205
UT
208600000X
Surgery Physician
MD418012
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
8054539-1205
UT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D78550
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085578200
—
MD
Enumeration date
07/07/2006
Last updated
12/30/2014
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