Individual
DR. VERNISSIA TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
194 THOMAS JOHNSON DR, FREDERICK, MD 21702-4679
(240) 575-2526
(240) 566-7868
Mailing address
2946 WOODVALLEY DR., PIKESVILLE, MD 21208
(401) 499-4294
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
D0092081
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/26/2011
Last updated
04/07/2022
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