Individual
DR. TANYA S DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 THOMAS JOHNSON DRIVE, SUITE J, FREDERICK, MD 21702-4895
(301) 620-0010
(301) 682-3977
Mailing address
75 THOMAS JOHNSON DRIVE, SUITE J, FREDERICK, MD 21702-4895
(301) 620-0010
(301) 682-3977
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
10361
NH
207V00000X
Obstetrics & Gynecology Physician
233739
MA
207V00000X
Obstetrics & Gynecology Physician
8398
VT
207V00000X
Obstetrics & Gynecology Physician
Primary
D33419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144557
—
MA
05
—
30011547
—
NH
Enumeration date
12/07/2006
Last updated
11/09/2015
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