Organization
MIRACLE MEDICAL LLC
Active
Other names
Miracle Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ALTAMARIA MAPP DO (PHYSICINE)
(240) 603-0502
Entity
Organization
Contact information
Practice address
6005 LANDOVER RD STE 3, CHEVERLY, MD 20785-1145
(240) 603-0502
(443) 790-9236
Mailing address
6005 LANDOVER RD STE 5, CHEVERLY, MD 20785-1145
(240) 687-8690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766166500
—
MD
Enumeration date
09/19/2020
Last updated
04/29/2026
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