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NPI Code Detail

MEDICARE: DR. ELIZABETH MARY O'SHAUGHNESSY MD

MEDICARE:  DR. ELIZABETH MARY O'SHAUGHNESSY  MD
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
1207RI0200XInfectious Disease PhysicianD0058305MD

General Provider Information

NPI Number : 1366537805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH MARY O'SHAUGHNESSY MD
Provider Business Mailing Address
First Line : 3707 GLEBE MEADOW WAY
Second Line :
City : EDGEWATER
State : MD
Zip : 21037-1961
Country : US
Telephone Number : 301-796-0781
Fax Number : 301-796-9882
Provider Business Practice Location Address
First Line : 10903 NEW HAMPSHIRE AVE
Second Line : BUILDING 22 RM 6176
City : SILVER SPRING
State : MD
Zip : 20993-0002
Country : US
Telephone Number : 301-796-1600
Fax Number : 301-796-9881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 06/04/2008

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Directions to “ DR. ELIZABETH MARY O'SHAUGHNESSY MD” Practice Location

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