Individual
DR. JODY ROBERT TVERSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-2300
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 550-2300
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
5458
MD
207KA0200X
Allergy Physician
ME166351
FL
207R00000X
Internal Medicine Physician
042352
CT
207R00000X
Internal Medicine Physician
MD-13065
HI
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
250668
NY
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
D66119
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042352
CT STATE LICENSE
CT
01
—
D0066119
MARYLAND STATE MEDICAL LICENSE
MD
01
—
MD-13065
HAWAII MEDICAL LICENSE
HI
Enumeration date
01/31/2007
Last updated
03/06/2025
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