Calvert Obgyn Associates of Southern Maryland, LLC
NPI #1104940139 in Prince Frederick, Maryland
Provider Information
- NPI Number
- 1104940139
- Entity Type
- Organization
- Organization Name
- Calvert Obgyn Associates of Southern Maryland, LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 110 HOSPITAL RD
- Address 2
- SUITE 211
- City
- Prince Frederick
- State
- Maryland
- ZIP Code
- 20678-4019
- Phone
- (410) 535-3642
Authorized Official
- Name
- DR. JOSEPH R TIRALLA, MD
- Title
- MANAGING MEMBER
- Phone
- (410) 535-3642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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