Basic Information
| Provider Information | |||||||||
| NPI: | 1376525956 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHOCHET | ||||||||
| FirstName: | MORRIS | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | GLEN BURNIE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210615803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107874594 | ||||||||
| FaxNumber: | 4107874846 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 HOSPITAL DR | ||||||||
| Address2: | ST 227 | ||||||||
| City: | GLEN BURNIE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210616902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105538085 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2005 | ||||||||
| LastUpdateDate: | 10/15/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | D0043429 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | 0242-0007 | 01 | DC | CAREFIRST BLUE CROSS | OTHER | 1346569 | 01 | MD | CIGNA | OTHER | 7556683 | 01 | MD | AETNA PPO | OTHER | 3865506 | 01 | MD | AETNA HMO | OTHER | 756921100 | 05 | MD | MEDICAID | 26620 | 01 | JOHNS HOPKINS HEALTHCARE | OTHER | 525559-05 | 01 | MD | CARE FIRST BLUE CROSS | OTHER |