MEDICARE: DR. TIFFANY ALTAMARIA MAPP D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H782302	MD
2	207Q00000X	Family Medicine Physician	OS017242	PA
3	207VX0000X	Obstetrics Physician	H7832302	MD
4	207Q00000X	Family Medicine Physician	H7832302	MD

General Provider Information

NPI Number	:	1750680021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIFFANY ALTAMARIA MAPP D.O.

Provider Business Mailing Address
First Line	:	6005 LANDOVER RD STE 5
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1145
Country	:	US
Telephone Number	:	240-687-8690
Fax Number	:	443-740-9236

Provider Business Practice Location Address
First Line	:	6005 LANDOVER RD STE 5
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1145
Country	:	US
Telephone Number	:	240-687-8690
Fax Number	:	443-740-9236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2011
Last Update Date	:	08/05/2021

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