Organization
ADAM G. TATTELBAUM, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SHEMUHA (PRACTICE MANAGER)
(301) 656-6398
Entity
Organization
Contact information
Practice address
3203 TOWER OAKS BLVD STE 200, ROCKVILLE, MD 20852-4260
(301) 656-6398
(301) 754-2503
Mailing address
3203 TOWER OAKS BLVD STE 200, ROCKVILLE, MD 20852-4260
(301) 656-6398
(301) 754-2503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D45135
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6901212
—
VA
01
—
881266
MEDICARE PROVIDER NUMBER
—
Enumeration date
03/20/2008
Last updated
03/20/2008
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