Most Relevant Information
Provider Data
| NPI Number: | 1003490731 |
| Provider Name: | MARY TABAKIN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2021 |
| Last Updated: | 09/18/2024 |
Provider Practice Location
8401 CONNECTICUT AVE PH SUITE
CHEVY CHASE
MD
208155822
Practice Location Phone/Fax
| Phone: | 2026271904 |
| Fax: |
Provider Mailing Location
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO
CA
941113723
Provider Mailing Phone/Fax
| Phone: | 4156586791 |
| Fax: |