Organization
TELLERMAN & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH TELLERMAN (OWNER)
(410) 243-8632
Entity
Organization
Contact information
Practice address
711 W 40TH ST STE 438, BALTIMORE, MD 21211-2199
(410) 243-8632
Mailing address
711 W 40TH ST STE 438, BALTIMORE, MD 21211-2199
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/24/2020
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