Organization
THORACIC & VASCULAR SURGICAL SPECIALTY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIMENGA M TSHIBAKA M.D. (PRESIDENT)
(443) 676-6505
Entity
Organization
Contact information
Practice address
20 EXPEDITION TRL, SUITE 110B, GETTYSBURG, PA 17325-8598
(443) 676-6505
Mailing address
20 EXPEDITION TRL, SUITE 110B, GETTYSBURG, PA 17325-8598
(443) 676-6505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD418715
PA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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