Ronald Shore Md Pa

LBN: Ronald Shore Md Pa
Ronald Shore Md Pa is an health care organization with primary practice located at 4701 Randolph Rd Ste 207 , Rockville MD 20852-2261. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Ronald Shore Md Pa can be contacted via phone (410) 872-9188, or through Fish, David M via phone (410) 872-9188.

Contact Information

Primary practice address
4701 Randolph Rd Ste 207 Rockville MD 20852-2261
Phone: (410) 872-9188
Fax: (410) 872-9169
Website:
Map and Directions
Authorized official contact:
Name: Fish, David M
Phone: (410) 872-9188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Maryland

Profile Details

NPI number 1649459322
LBN Legal business name Ronald Shore Md Pa
DBA Doing business as
Authorized official Fish, David M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2007
Last updated Apr 15th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649459322 NPPES
District of Columbia Other 6792 BCBS
District of Columbia Other 8216RN BCBS
District of Columbia Other 070015957 BCBS

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