Individual
DR. TOM A HARTSUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12502 WILLOWBROOK RD, SUITE 660, CUMBERLAND, MD 21502-6491
(240) 964-8760
(240) 964-8769
Mailing address
12502 WILLOWBROOK RD, SUITE 660, CUMBERLAND, MD 21502-6491
(240) 964-8760
(240) 964-8769
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0056074
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233044076
TAX ID
MD
01
—
D0056074
STATE LICENSE
MD
Enumeration date
09/07/2005
Last updated
08/11/2015
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