Individual
TINA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N WOLFE ST, BLALOCK 1412, BALTIMORE, MD 21287-0005
(410) 955-7609
Mailing address
PO BOX 64382, BALTIMORE, MD 21287-0005
(410) 955-7481
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D67306
MD
207L00000X
Anesthesiology Physician
T4765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018139100
—
MD
Enumeration date
01/29/2007
Last updated
01/24/2014
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