Individual
IRENE VAN GAALEN TYBURSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
227 ST. PAUL PLACE, 6TH FLOOR, BALTIMORE, MD 21202
(410) 332-9700
Mailing address
227 ST. PAUL PLACE, 6TH FLOOR, BALTIMORE, MD 21202
(410) 332-9700
(410) 545-4330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03920
MD
Other
Enumeration date
12/08/2008
Last updated
03/24/2016
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