Provider Demographics
NPI:1447555669
Name:MOSEE, SHEILA J (MD)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:J
Last Name:MOSEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9440 PENNSYLVANIA AVE
Mailing Address - Street 2:#160
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3659
Mailing Address - Country:US
Mailing Address - Phone:301-599-0460
Mailing Address - Fax:301-599-2174
Practice Address - Street 1:9440 PENNSYLVANIA AVE
Practice Address - Street 2:#160
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3659
Practice Address - Country:US
Practice Address - Phone:301-599-0460
Practice Address - Fax:301-599-2174
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044898208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD911431900Medicaid