Individual
SUSAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, MEYER 2-147, BALTIMORE, MD 21287-0005
(410) 502-3415
Mailing address
600 N WOLFE ST, MEYER 2-147, BALTIMORE, MD 21287-0005
(410) 502-3415
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A90788
CA
Other
Enumeration date
07/17/2007
Last updated
04/13/2009
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