Individual
DR. SUSAN ELIZABETH TARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1838 GREENE TREE RD STE 460, BALTIMORE, MD 21208
(410) 581-1600
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(443) 738-2872
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
22834
WV
208800000X
Urology Physician
A101074
CA
208800000X
Urology Physician
Primary
D0088151
MD
208800000X
Urology Physician
MD461729
PA
208800000X
Urology Physician
N8584
TX
Other
Enumeration date
05/11/2007
Last updated
07/21/2022
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