Organization
SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY SHAPIRO (CHIEF FINANCIAL OFFICER)
(301) 545-1407
Entity
Organization
Contact information
Practice address
9601 BLACKWELL ROAD, SUITE 400, ROCKVILLE, MD 20850-6478
(301) 340-1188
(301) 340-6478
Mailing address
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
(301) 340-1188
(301) 340-6478
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
02/15/2018
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