Shore, Ronald

Shore, Ronald is an individual health care provider with primary practice located at 4701 Randolph Rd Suite 201, Rockville MD 20852-2257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Shore, Ronald can be contacted via phone (410) 872-9188.

Contact Information

Primary practice address
4701 Randolph Rd Suite 201 Rockville MD 20852-2257
Phone: (410) 872-9188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D20596 Maryland

Profile Details

NPI number 1144258757
LBN Legal business name Shore, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 19th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144258757 NPPES
District of Columbia Other 6792001 CAREFIRST BCBSDC
District of Columbia Other 52494004 CAREFIRST BCBSDC

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