Individual
DR. TANYA Y COTHRAN-ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 N FREDERICK AVE, GAITHERSBURG, MD 20877-2507
(301) 258-7158
(301) 258-7252
Mailing address
501 N FREDERICK AVE, GAITHERSBURG, MD 20877-2507
(301) 258-7158
(301) 258-7252
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
21020
SC
208000000X
Pediatrics Physician
Primary
D0064619
MD
208000000X
Pediatrics Physician
MD034923
DC
Other
Enumeration date
07/20/2005
Last updated
06/15/2021
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