Organization
CECILIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE AYUK TATAW AGPCNP (NP)
(443) 929-1462
Entity
Organization
Contact information
Practice address
3219 CORPORATE CT, ELLICOTT CITY, MD 21042-2247
(443) 929-1462
Mailing address
3938 ROLLING RD, PIKESVILLE, MD 21208-2455
(443) 929-1462
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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