Individual
JEFFREY WILSON SHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, SUITE 3B-55, WASHINGTON, DC 20010-3017
(202) 877-7347
Mailing address
110 IRVING ST NW, SUITE 3B-55, WASHINGTON, DC 20010-3017
(202) 877-7347
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD037794
DC
Other
Enumeration date
05/19/2008
Last updated
10/24/2011
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