Individual
TERRY MARIE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
711 MAIDEN CHOICE LN, BALTIMORE, MD 21228-3632
(410) 247-5602
(410) 242-1756
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(410) 402-2379
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01320
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045
CAREFIRST
—
05
—
008203100
—
MD
05
—
008203101
—
MD
05
—
008203102
—
MD
01
—
0943ER-610595-07
CAREFIRST BCBS OF MD
—
01
—
138CER-610595-07
CAREFIRST BCBS OF MD
—
01
—
2701161
EVERCARE
—
01
—
610595-07
BCBS MD
—
Enumeration date
07/06/2006
Last updated
02/26/2026
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