Organization
TERRY P DETRICH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY P DETRICH M.D. (OWNER)
(410) 822-6677
Entity
Organization
Contact information
Practice address
140 S WASHINGTON ST, EASTON, MD 21601-2912
(410) 822-6677
(410) 820-5717
Mailing address
140 S WASHINGTON ST, EASTON, MD 21601-2912
(410) 822-6677
(410) 820-5717
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D12893
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031581800
—
MD
Enumeration date
01/27/2012
Last updated
01/27/2012
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