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Individual

GREG VICTOR IGOT TAMPUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1300 YORK RD STE 190D, LUTHERVILLE TIMONIUM, MD 21093-6016
(443) 288-5206
(443) 288-5205
Mailing address
1300 YORK RD STE 190D, LUTHERVILLE TIMONIUM, MD 21093-6016
(443) 288-5206
(443) 288-5205

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0076580
MD
208D00000X
General Practice Physician
D0076580
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
421974100
MD
Enumeration date
12/07/2009
Last updated
10/07/2025
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