Individual
HEATHER MCDONAGH TAMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6115 FALLS RD STE 300, BALTIMORE, MD 21209-2219
(410) 377-7611
Mailing address
6115 FALLS RD STE 300, BALTIMORE, MD 21209-2219
(410) 377-7611
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
57331
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
D0089496
MD
Other
Enumeration date
03/31/2014
Last updated
09/21/2020
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