Kristen Shaw Deitchman, D.O.

NPI #1477849149 in Nottingham, Maryland

Provider Information

NPI Number: 1477849149
Entity Type: Individual
Name: Kristen Shaw Deitchman, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Jun 21, 2011
Last Updated: Oct 17, 2016

Practice Location

Address: 4924 CAMPBELL BLVD
Address 2: SUITE 200
City: Nottingham
State: Maryland
ZIP Code: 21236-5908
Phone: (443) 442-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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