Dr. Timothy J Shanahan, D.O.
Specialist in Easton, MD. Individual provider (NPI-1).
NPI number1528072089
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1528072089
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy J Shanahan
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | H0064036 | MD | Yes |
Practice location
522 Idlewild AveEaston, MD 21601-3824
Phone 410-822-5571 · Fax 410-822-3859
Mailing address
522 Idlewild AveEaston, MD 21601-3824
Phone 410-822-5571 · Fax 410-822-3859
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