Individual
TIFFANY H ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
(410) 542-8130
Mailing address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
(301) 247-4922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008770
MD
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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