Organization
TLC PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI THOMPSON- CHITTAMS D.O. (PEDIATRICIAN)
(301) 352-6515
Entity
Organization
Contact information
Practice address
4357 NORTHVIEW DR, BOWIE, MD 20716-2603
(301) 352-6515
(301) 352-6516
Mailing address
4357 NORTHVIEW DR, BOWIE, MD 20716-2603
(301) 352-6515
(301) 352-6516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0058746
STATE LICENSE
MD
Enumeration date
06/03/2015
Last updated
06/03/2015
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