Dr BRUCE B TISDALE is a male medical professional, specializing in Clinical Social Worker. He graduated in 2004.
2116 CATHERINE FRAN DR
ACCOKEEK
MD
206073216
Tel:
| Npi | 1588816490 |
| Pac Id | 7315104965 |
| Professional Enrollment Id | I20120209000108 |
| Last Name | TISDALE |
| First Name | BRUCE |
| Middle Name | B |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
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| Line 1 Street Address | 2116 CATHERINE FRAN DR |
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| City | ACCOKEEK |
| State | MD |
| Zip Code | 206073216 |
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| Professional Accepts Medicare Assignment | Y |
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