Individual
DR. THEODORE THOMAS MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8322 BELLONA AVE STE 100, TOWSON, MD 21204-2065
(410) 337-7900
(410) 337-5321
Mailing address
8322 BELLONA AVE STE 100, TOWSON, MD 21204-2065
(410) 337-7900
(410) 337-5321
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
60-243390
NY
207X00000X
Orthopaedic Surgery Physician
Primary
D0065474
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0065474
MD LICENSE #
MD
Enumeration date
01/24/2007
Last updated
06/15/2019
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