Individual
JACOB TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 RUTLAND AVE # ROSS759, BALTIMORE, MD 21205-2109
(443) 287-6944
Mailing address
720 RUTLAND AVE # ROSS759, BALTIMORE, MD 21205-2109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA11981800
NJ
Other
Enumeration date
04/03/2017
Last updated
02/19/2025
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