Individual
TANISHA M OSBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7211 BANK CT, SUITE 200, FREDERICK, MD 21703-8483
(240) 457-4605
(240) 457-4631
Mailing address
7211 BANK CT, SUITE 200, FREDERICK, MD 21703-8483
(240) 457-4605
(240) 457-4631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0074566
MD
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
11/07/2007
Last updated
09/14/2012
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