Individual
DR. TINA MARIE LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 283-1203
Mailing address
3629 ELKADER RD, BALTIMORE, MD 21218-2002
(415) 830-2544
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D68706
MD
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
T1655
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023240800
—
MD
01
—
T1655
HOSPITAL ID#
MD
Enumeration date
01/30/2007
Last updated
05/11/2017
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