| Dr. Timothy C Walters Pa | |
|
2700 Quarry Lake Dr Ste 290 Baltimore MD 21209-3744 | |
| (410) 484-8398 | |
| Not Available |
| Full Name | Dr. Timothy C Walters Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2700 Quarry Lake Dr Ste 290, Baltimore, Maryland |
| Authorized Official Name and Position | Timothy C Walters (PHYSICIAN / OWNER) |
| Authorized Official Contact | 4104848398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Timothy C Walters Pa 2700 Quarry Lake Dr Ste 290 Baltimore MD 21209-3744 Ph: () - | Dr. Timothy C Walters Pa 2700 Quarry Lake Dr Ste 290 Baltimore MD 21209-3744 Ph: (410) 484-8398 |
| NPI Number | 1326814807 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 1153772918 |
|---|---|
| Medicare Enrollment ID | O20240105003672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326814807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy C Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063604742 PECOS PAC ID: 2062546419 Enrollment ID: I20130827000321 |
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