Individual
DOMINICK TUMACDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
7338 E 13TH ST, INDIANAPOLIS, IN 46219-3706
(317) 402-4718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08958
MD
Other
Enumeration date
04/24/2023
Last updated
08/16/2023
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