NPI 1932242542

Tristan J Shockley, MD

Practitioner Physical Medicine & Rehabilitation Physician Laurel, MD

Practice location

Address: 14205 Park Center Dr Suite 204, Laurel, MD 20707-5246
Phone: (240) 786-1001
Mailing address: 9900 Greenbelt Rd Suite E117, Lanham, MD 20706-2255

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence D0068884 (MD)

Other Physical Medicine & Rehabilitation providers in Maryland →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence MD038330 (DC)

Registry record

NPI: 1932242542
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2007
Record last updated: 30 Jun 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.