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Organization

PRESTON FAMILY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY JOHN SNIEZEK MD (FAMILY PHYSICIAN)
(410) 673-2001
Entity
Organization

Contact information

Practice address
136 LEDNUM AVE., SUITE 5, PRESTON, MD 21655
(410) 673-2001
Mailing address
PO BOX 331, PRESTON, MD 21655-0331
(410) 673-2001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0053253
MD

Other

Enumeration date
04/04/2007
Last updated
08/22/2020
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