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Organization
MIRACLE MEDICAL LLC
Active
Organization
MIRACLE MEDICAL LLC
Active
Other names
Miracle Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ALTAMARIA MAPP DO (PHYSICINE)
(240) 603-0502
Entity
Organization
Contact information
Practice address
6005 LANDOVER RD STE 3, CHEVERLY, MD 20785-1145
(240) 603-0502
(443) 790-9236
Mailing address
6005 LANDOVER RD STE 5, CHEVERLY, MD 20785-1145
(240) 687-8690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
NULL
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
09/19/2020
Last updated
04/29/2026
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