Individual
CYDNEY TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 W HIGH ST, SUITE 314, ELKTON, MD 21921-5529
(410) 620-0545
Mailing address
PO BOX 7356, LANCASTER, PA 17604-7356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0013123
DE
207Q00000X
Family Medicine Physician
D0056327
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122400000
—
MD
01
—
P00826628
MEDICARE RAILROAD
—
Enumeration date
05/11/2006
Last updated
05/13/2019
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