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Individual

CAROL K TWEED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2003 MEDICAL PKWY, SUITE 210, ANNAPOLIS, MD 21401-7992
(410) 573-5300
(410) 573-5305
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6571
(443) 481-6515

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD422644
PA
207RX0202X
Medical Oncology Physician
Primary
D74092
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
234105100
MEDICAID
MD
Enumeration date
06/06/2006
Last updated
12/03/2013
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