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Individual

TARA ROSE-SUKHAPINDA SECOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-1100
Mailing address
1500 HIGHLANDS DR, LITITZ, PA 17543-7694
(717) 625-5000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102206562
VA
207L00000X
Anesthesiology Physician
OT017647
PA

Other

Enumeration date
04/28/2017
Last updated
07/01/2021
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