NPI 1588198766

Clarence Tabb, CSA

Practitioner Surgical Assistant Baltimore, MD

Practice location

Address: 200 E 33rd St Suite 487, Baltimore, MD 21218-3322
Phone: (410) 554-2780
Mailing address: 8823 Greens Ln, Randallstown, MD 21133-4205

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 1925

Other Specialist/Technologist, Other providers in Maryland →

Registry record

NPI: 1588198766
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2017
Record last updated: 14 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.