Provider Demographics
NPI:1538287701
Name:TUSSING, DEBORAH LAUTH (DEBORAH TUSSING MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LAUTH
Last Name:TUSSING
Suffix:
Gender:F
Credentials:DEBORAH TUSSING MD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:TUSSING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DEBORAH TUSSING
Mailing Address - Street 1:670 HENDLER RD
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-3618
Mailing Address - Country:US
Mailing Address - Phone:410-507-5277
Mailing Address - Fax:410-647-6321
Practice Address - Street 1:670 HENDLER RD
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-3618
Practice Address - Country:US
Practice Address - Phone:410-507-5277
Practice Address - Fax:410-647-6321
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD33500208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice