Individual
TIMOTHY DANIEL POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6115 FALLS RD, SUITE 300, BALTIMORE, MD 21209-2219
(410) 377-7611
(410) 377-8221
Mailing address
6115 FALLS RD, SUITE 300, BALTIMORE, MD 21209-2219
(410) 377-7611
(410) 377-8221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0051788
MD
207W00000X
Ophthalmology Physician
MD438329
PA
Other
Enumeration date
01/13/2006
Last updated
09/28/2012
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