Alice Tanner M.d.,pc

NPI 1013184159 - Pediatrics - 2080A0000X

NPI Details
NPI 1013184159
Enumeration Date 05/08/2008
Last Updated 05/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ALICE PATRICIA ALICE
Position PEDIATRICIAN/PRACTICE OWNER
Phone (410) 768-2231
Fax (410) 760-4522
Practice Location
1406 CRAIN HWY S
SUITE 104
GLEN BURNIE MD, 21061-4058, US
Phone (410) 768-2231
Fax (410) 760-4522
Business Location
1406 CRAIN HWY S
SUITE 104
GLEN BURNIE MD, 21061-4058, US
Phone (410) 768-2231
Fax (410) 760-4522
Toxanomy
Taxonomy Code 2080A0000X
License State
License Number
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According to our database, Alice Tanner M.d.,pc NPI is 1013184159, taxonomy code is 2080A0000X Alice Tanner M.d.,pc physically located at 1406 Crain Hwy S, Glen Burnie MD, 21061-4058. NPI Number 1033115704 has the healthcare provider type.

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1013184159 NPI number is provided on an as is basis without warranty of any kind. 1013184159 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Tanner M.d.,pc are for informational purposes only.