Individual
DR. KIRK MAURICE CHAN-TACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 W LOMBARD ST, BALTIMORE, MD 21201-1009
(410) 706-5537
(410) 706-1992
Mailing address
8504 MAYAONE ST, LAUREL, MD 20724-2914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0063692
MD
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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