Individual
TIFFANI MARGUERITE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1576 MERRITT BLVD, STE 16, BALTIMORE, MD 21222-2132
(410) 650-2191
(410) 288-4567
Mailing address
1576 MERRITT BLVD, STE 16, BALTIMORE, MD 21222-2132
(410) 650-2191
(410) 288-4567
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2008-01863
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
D77232
MD
207VX0000X
Obstetrics Physician
2008-01863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151MK
BCBS
NC
05
—
5910673
—
NC
Enumeration date
12/31/2007
Last updated
12/28/2016
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