Individual
TIMOTHY MCCANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6105 GRANBY RD, DERWOOD, MD 20855-1475
(301) 963-4079
Mailing address
6105 GRANBY RD, DERWOOD, MD 20855-1475
(301) 963-4079
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
D40598
MD
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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