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NPI Code Detail

MEDICARE: SHORE HEALTH SYSTEM, INC

MEDICARE: SHORE HEALTH SYSTEM, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273R00000XPsychiatric Hospital Unit

General Provider Information

NPI Number : 1285694091
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHORE HEALTH SYSTEM, INC
Provider Business Mailing Address
First Line : 300 BYRN ST
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-1908
Country : US
Telephone Number : 410-228-5511
Fax Number : 410-221-8123
Provider Business Practice Location Address
First Line : 300 BYRN ST
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-1908
Country : US
Telephone Number : 410-228-5511
Fax Number : 410-221-8123
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. JOSEPH P ROSS
Credential :
Telephone Number : 410-822-1000
Provider Enumeration Date : 03/24/2006
Last Update Date : 08/22/2020

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Directions to “SHORE HEALTH SYSTEM, INC ” Practice Location

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