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Individual

DR. TYRONE DAVID FILLYAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5480 WISCONSIN AVE STE 228, CHEVY CHASE, MD 20815-3521
(301) 931-7412
Mailing address
5480 WISCONSIN AVE STE 228, CHEVY CHASE, MD 20815-3521
(301) 931-7412

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0055445
MD
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0055445
MD

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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