NPI 1043717424
Jonathan de Shields, MD
Practice location
- Address
- 10810 Connecticut Ave, Kensington, MD 20895-2138
- Phone
- (301) 297-1003
- Mailing address
- 7651 Woodland Dr, Easton, MD 21601-8141
Registered specialties (2)
Internal Medicine Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1043717424
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Apr 2018
- Record last updated
- 19 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.