Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101053432 | VA |
N | 208000000X | Pediatrician | GFE60613 | CA |
N | 2080P0201X | Pediatric Allergist | D0057672 | MD |
NPI | 1659333185 |
---|---|
Provider Name | Dr. Terrance Kenneth Egland |
First Address | Laytonsville, MD 20882-1118 |
Second Address | Bethesda, MD 20889-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 08/07/2007 |