Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | D41694 | MD |
NPI | 1285637819 |
---|---|
Provider Name | Dr. Thomas R Dennis |
First Address | Annapolis, MD 21401-7028 |
Second Address | Annapolis, MD 21401-7028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 26/03/2013 |