Individual
TERRENCE XAVIER DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8926 WOODYARD RD, SUITE 602, CLINTON, MD 20735-4220
(301) 856-1682
(301) 856-8214
Mailing address
8926 WOODYARD RD, SUITE 701, CLINTON, MD 20735-4220
(301) 856-1682
(301) 856-8214
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D36294
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101245370
VIRGINIA LICENSE
—
01
—
157146YZW
METRO MEDICARE
—
01
—
168431ZAKW
MEDICARE MARYLAND
—
01
—
46950039
CAREFIRST NCA
—
01
—
95423901
CAREFIRST OF MARYLAND
—
01
—
D36294
MARYLAND LICENSE
—
01
—
P00887805
RAILROAD MEDICARE INDIVIDUAL PTAN
—
Enumeration date
10/03/2005
Last updated
09/27/2011
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