Individual
TERRENCE XAVIER DWYER
Active
Individual
TERRENCE XAVIER DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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