Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | D0038148 | MD |
N | 207VX0000X | Obstetrician | DOO38148 | MD |
NPI | 1306890082 |
---|---|
Provider Name | Dr. Barbara Tymkiw |
First Address | Crownsville, MD 21032-1532 |
Second Address | Annapolis, MD 21401-7992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 31/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
546991100 | (05) | MD |