| Terry P Detrich Md Pa | |
|
140 S Washington St Easton MD 21601-2912 | |
| (410) 822-6677 | |
| (410) 820-5717 |
| Full Name | Terry P Detrich Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 140 S Washington St, Easton, Maryland |
| Authorized Official Name and Position | Terry P Detrich (OWNER) |
| Authorized Official Contact | 4108226677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry P Detrich Md Pa 140 S Washington St Easton MD 21601-2912 Ph: (410) 822-6677 | Terry P Detrich Md Pa 140 S Washington St Easton MD 21601-2912 Ph: (410) 822-6677 |
| NPI Number | 1033481718 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 01/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033481718 | NPI | - | NPPES |
| 031581800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D12893 (Maryland) | Primary |
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