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Organization

TB MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVA MCCANN (ADMINISTRATOR/AUTHORIZED OFFICIAL)
(410) 847-3839
Entity
Organization

Contact information

Practice address
10753 FALLS RD, 225, LUTHERVILLE, MD 21093-4535
(410) 583-2844
(410) 583-2841
Mailing address
10753 FALLS RD, 225, LUTHERVILLE, MD 21093-4535
(410) 583-2844
(410) 583-2841

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D50592
MD

Other

Enumeration date
09/28/2010
Last updated
02/05/2020
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