Organization
ET FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETA STEPHEN TATAW (OWNER)
(301) 982-7898
Entity
Organization
Contact information
Practice address
7231 HANOVER PKWY STE A, GREENBELT, MD 20770-2027
(240) 386-9682
(301) 477-7352
Mailing address
7231 HANOVER PKWY STE A, GREENBELT, MD 20770-2027
(301) 982-7898
(301) 982-2588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R178223
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337807100
—
MD
05
—
424652700
—
MD
Enumeration date
01/01/2013
Last updated
02/24/2023
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