Provider Demographics
NPI:1689481681
Name:EASTERN SHORE AREA HEALTH EDUCATION CENTER
Entity type:Organization
Organization Name:EASTERN SHORE AREA HEALTH EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAKIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULAI
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:410-221-2600
Mailing Address - Street 1:814 CHESAPEAKE DR
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-9408
Mailing Address - Country:US
Mailing Address - Phone:410-221-2600
Mailing Address - Fax:410-221-2605
Practice Address - Street 1:814 CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-9408
Practice Address - Country:US
Practice Address - Phone:410-221-2600
Practice Address - Fax:410-221-2605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare