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Dr. Shane Joseph, MD
General Practice Physician in Annapolis, Maryland
NPI 1568876837

Shane Joseph is a General Practice Physician based in Annapolis, MD. Shane Joseph practices in Annapolis, MD and has the professional credentials of MD. The NPI Number for Shane Joseph is 1568876837 and holds a License No. A138026 (Maryland).

The current practice location address for Shane Joseph is 695 Kinkaid Rd, Annapolis, MD and can be reached out via phone at 410-293-1152.

Location: 695 Kinkaid Rd, Annapolis, MD, 21402-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568876837
Provider Name
Shane Joseph
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
695 Kinkaid Rd, Annapolis, MD, 21402-1006
Phone Number
410-293-1152
Fax Number
Provider Enumeration Date
06/16/2014
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
695 Kinkaid Rd
City
Annapolis
State
Maryland
Zip
21402-1006
Phone Number
410-293-1152
Fax Number
person
Provider Business Mailing Address Details
Address
695 Kinkaid Rd
City
Annapolis
State
Maryland
Zip
21402-1006
Phone Number
410-293-1152
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Preventive Medicine/Occupational Environmental Medicine
Taxonomy
2083P0500X
License No.
A138026 (California)
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A138026 (California)
Definition
Definition to come...
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