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Organization
STEVEN J TILLES PA
Active
Organization
STEVEN J TILLES PA
Active
Parent organization
STEVEN J TILLES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEVEN J TILLES PA
Authorized official
DR. STEVEN J TILLES DPM (PODIATRIST)
(410) 944-4000
Entity
Organization
Contact information
Practice address
7131 LIBERTY RD, SUITE 100, BALTIMORE, MD 21207-4580
(410) 944-4000
(410) 281-1181
Mailing address
7131 LIBERTY RD, SUITE 100, BALTIMORE, MD 21207-4580
(410) 944-4000
(410) 281-1181
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
402
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600928001
—
MD
Enumeration date
03/11/2008
Last updated
07/26/2010
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