Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | D0082991 | MD |
NPI | 1003170002 |
---|---|
Provider Name | Dr. Tiffani Danielle Pittman |
First Address | Washington, DC 20024-4577 |
Second Address | Baltimore, MD 21239-2905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2012 |
Last Update Date | 07/11/2018 |