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Dr. Timothy J Shanahan, DO
Specialist in Easton, Maryland
NPI 1528072089

Timothy J Shanahan is a Specialist based in Easton, MD. Timothy J Shanahan practices in Easton, MD and has the professional credentials of DO. The NPI Number for Timothy J Shanahan is 1528072089 and holds a License No. H0064036 (Maryland).

The current practice location address for Timothy J Shanahan is 522 Idlewild Ave, Easton, MD and can be reached out via phone at 410-822-5571 and via fax at 410-822-3859.

Location: 522 Idlewild Ave, Easton, MD, 21601-3824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528072089
Provider Name
Timothy J Shanahan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
522 Idlewild Ave, Easton, MD, 21601-3824
Phone Number
410-822-5571
Fax Number
410-822-3859
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H0064036 01 MD STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
522 Idlewild Ave
City
Easton
State
Maryland
Zip
21601-3824
Phone Number
410-822-5571
Fax Number
410-822-3859
person
Provider Business Mailing Address Details
Address
522 Idlewild Ave
City
Easton
State
Maryland
Zip
21601-3824
Phone Number
410-822-5571
Fax Number
410-822-3859
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
H0064036 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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