Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | D62625 | MD |
NPI | 1154312734 |
---|---|
Provider Name | Tamara Means |
First Address | Wyomissing, PA 19610-3202 |
Second Address | Columbia, MD 21044-3128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 09/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
407509900 | (05) | MD |
I41606 | (02) | MD |