Jeffrey Edward Short in Severn - General Practice

Jeffrey Edward Short - NPI 1851317754

Jeffrey Edward Short is a General Practice in Severn, Maryland. Jeffrey Edward Short practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Edward Short is 1851317754. The last update date is 2019-12-03.

Jeffrey Edward Short's current location address is 1630 Stream Valley Overlook, Severn, Maryland. You can contact this provider via phone number 4103050232 and fax number 4103050232. The mailing address for Jeffrey Edward Short is 1630 Stream Valley Overlook, Severn, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Edward Short
Address 1630 Stream Valley Overlook, Severn, Maryland
Phone Number 4103050232
Fax Number 4103050232
Sole Proprietor Y
Credentials MD, MPH

NPI Number Detail

NPI Number 1851317754
Provider Enumeration Date 2006-07-14
Last Updated Date 2019-12-03

Provider Mailing Address Detail

Address 1630 Stream Valley Overlook
City Severn
State Maryland (MD)
Post Code 211441175
Phone Number 4103050232
Fax Number 4103050232

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 4996
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Jeffrey Edward Short

What is the Jeffrey Edward Short's unique identification number?

The Jeffrey Edward Short has been assigned the NPI (National Provider Identifier) Number 1851317754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Jeffrey Edward Short's facilities are geographically located?

The facilities of Jeffrey Edward Short are physically situated at the following location: 1630 Stream Valley Overlook, Severn, MD, 211441175.

What is Jeffrey Edward Short's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jeffrey Edward Short is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1851317754 to Jeffrey Edward Short?

The Jeffrey Edward Short received its 1851317754 assignment from the Centers for Medicare & Medicaid Services on 2006-07-14.

As of what date were the details related to Jeffrey Edward Short most recently updated or revised?

The information pertaining to Jeffrey Edward Short, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-03.

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