Individual
DR. ANDREW PIMENTA TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8667
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101273279
VA
Other
Enumeration date
06/19/2018
Last updated
12/04/2021
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