Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | DOO47194 | MD |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DOO47194 | MD |
NPI | 1689613267 |
---|---|
Provider Name | Dr. Thomas L. Pinckert |
First Address | Rockville, MD 20850-3348 |
Second Address | Rockville, MD 20850-3348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A53643 | (02) | MD |