MEDICARE: TDB COMMUNICATIONS INC

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	305S00000X	Point of Service

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00000	OTHER		00000

General Provider Information

NPI Number	:	1891436424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TDB COMMUNICATIONS INC

Provider Business Mailing Address
First Line	:	4217 20TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-3215
Country	:	US
Telephone Number	:	202-278-3689
Fax Number	:

Provider Business Practice Location Address
First Line	:	4217 20TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-3215
Country	:	US
Telephone Number	:	202-278-3689
Fax Number	:

Authorized Official
Title or Position	:	CHAIRMAN CEO
Name	:	MR. THOMAS A DUCKENFIELD III
Credential	:
Telephone Number	:	202-278-3689

Provider Enumeration Date	:	04/06/2022
Last Update Date	:	04/06/2022

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Directions to “TDB COMMUNICATIONS INC ” Practice Location

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