Individual
DR. TIMOTHY ROBERT KANIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MASON F. LORD BUILDING, SUITE 4100, 5200 EASTERN AVENUE, BALTIMORE, MD 21224
(410) 550-2044
(410) 550-2072
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D0100076
MD
Other
Enumeration date
06/04/2019
Last updated
08/06/2024
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