Provider Demographics
NPI:1487860748
Name:TUGGLE, TONYA DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:TONYA
Middle Name:DENISE
Last Name:TUGGLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6902 UPPER MILLS CIR
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 N CALVERT ST
Practice Address - Street 2:COURTHOUSE EAST - ROOM 100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-1904
Practice Address - Country:US
Practice Address - Phone:410-396-5078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00454422084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine