Individual
DANIEL TUMMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 609-4000
Mailing address
7816 MANET WAY, SEVERN, MD 21144-1628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D88525
MD
208M00000X
Hospitalist Physician
Primary
D88525
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
01/10/2020
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