Healthcare Provider Details

I. General information

NPI: 1952474678
Provider Name (Legal Business Name): CINDY TAMMINGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NATIONAL NAVAL MEDICAL CENTER 8901 ROCKVILLE PIKE
BETHESDA MD
20889-5600
US

IV. Provider business mailing address

5109 DUDLEY LN APT 201
BETHESDA MD
20814-5450
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-2737
  • Fax:
Mailing address:
  • Phone: 240-478-8761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0101051972
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: