Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 01631 | MD |
N | 213ES0103X | Foot & Ankle Surgery | SC006375 | PA |
NPI | 1013272699 |
---|---|
Provider Name | Dr. Tomika Coleman |
First Address | Baltimore, MD 21224-2710 |
Second Address | Annapolis, MD 21401-3861 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2012 |
Last Update Date | 17/03/2018 |