Individual
TARA THURLBY MUSCOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1438 DEFENSE HIGHWAY, SUITE 201, GAMBRILLS, MD 21054
(410) 721-3200
(410) 721-2680
Mailing address
1438 DEFENSE HIGHWAY, SUITE 201, GAMBRILLS, MD 21054
(410) 721-3200
(410) 721-2680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D46992
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080144695
RAILROAD RETIREMENT
—
01
—
1278653
UNITED HEALTHCARE
—
01
—
2216536
CIGNA
—
05
—
231121600
—
MD
01
—
33476
JOHNS HOPKINS HEALTH CARE
—
01
—
355138
MAMSI
—
01
—
38536
COVENTRY HEALTH
—
01
—
4205809
AETNA
—
01
—
53940001
BLUE CROSS BLUE CHOICE
—
01
—
637917
INFORMED
—
01
—
733208
NCPPO
—
01
—
OM7OTT
BLUE CROSS BLUE SHIELD
—
01
—
P13977
BCBS MPOS
—
Enumeration date
05/28/2006
Last updated
03/21/2019
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