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Organization
SAM TELLAWI MD PA
Active
Organization
SAM TELLAWI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CORNMAN (MANAGER)
(800) 749-5191
Entity
Organization
Contact information
Practice address
560 RIVERSIDE DR STE A206, SALISBURY, MD 21801-4704
(410) 912-5640
Mailing address
7700 OLD BRANCH AVE, SUITE B-102, CLINTON, MD 20735-1628
(301) 856-1960
(301) 856-3206
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
05/07/2019
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