Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | D77232 | MD |
N | 207VX0000X | Obstetrician | 2008-01863 | NC |
NPI | 1447435227 |
---|---|
Provider Name | Tiffani Marguerite Middleton |
First Address | Baltimore, MD 21222-2132 |
Second Address | Baltimore, MD 21222-2132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2007 |
Last Update Date | 28/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
151MK | BCBS (01) | NC |
5910673 | (05) | NC |