SearchMaryland1223G0001X

Petro Tymiuk, D.D.S

NPI 1699896282 · on the registry since 2007

Practice

Address
10316a Baltimore National Pike
Ellicott City, MD 21042
Phone
(410) 313-9483
Fax
(410) 313-9482
Organisation at this address
Revive Physical Therapy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland