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Organization

TATYANA REZNIKOV, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TATYANA REZNIKOV M.D. (OWNER)
(410) 363-0004
Entity
Organization

Contact information

Practice address
10706 REISTERSTOWN RD, SUITE 6, OWINGS MILLS, MD 21117-2720
(410) 363-0004
(410) 902-6971
Mailing address
10706 REISTERSTOWN RD, SUITE 6, OWINGS MILLS, MD 21117-2720
(410) 363-0004
(410) 902-6971

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D006080
MD

Other

Enumeration date
05/07/2009
Last updated
05/07/2009
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