Individual
MR. TIMOTHY J RASO IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1757
Mailing address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1757
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
10/16/2019
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