Provider Demographics
NPI:1689383572
Name:TOMICS MEDICAL LLC
Entity Type:Organization
Organization Name:TOMICS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SEVALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NANAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-421-2538
Mailing Address - Street 1:4041 POWDER MILL RD STE 310322
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3106
Mailing Address - Country:US
Mailing Address - Phone:240-421-2538
Mailing Address - Fax:
Practice Address - Street 1:4041 POWDER MILL RD STE 310322
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3106
Practice Address - Country:US
Practice Address - Phone:240-421-2538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care