Organization
TOLLER ENTERPRISES LLC
Active
Other names
Fairland Center
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER LEWIS TOLLER (OWNER)
(667) 207-3552
Entity
Organization
Contact information
Practice address
2101 FAIRLAND RD, SILVER SPRING, MD 20904-5427
(301) 384-6161
(301) 386-6161
Mailing address
2232 E MONUMENT ST, BALTIMORE, MD 21205-2431
(667) 207-3552
(443) 885-9778
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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