Organization
TOLLER ENTERPRISES LLC
Active
Other names
Clinton Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER LEWIS TOLLER (OWNER)
(667) 207-3552
Entity
Organization
Contact information
Practice address
9211 STUART LN, CLINTON, MD 20735-2712
(301) 863-3600
(301) 856-6218
Mailing address
2232 E MONUMENT ST, BALTIMORE, MD 21205-2431
(667) 207-3552
(443) 885-9778
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
07/01/2025
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