person
Tasscia M Williams Souffrant, MD
Obstetrics & Gynecology Physician in Frederick, Maryland
NPI 1053694539

Tasscia M Williams Souffrant is a Obstetrics & Gynecology Physician based in Rockledge, MD. Tasscia M Williams Souffrant practices in Frederick, MD and has the professional credentials of MD. The NPI Number for Tasscia M Williams Souffrant is 1053694539 and holds a License No. MD458253 (Maryland).

The current practice location address for Tasscia M Williams Souffrant is 61 Thomas Johnson Dr, Frederick, MD and can be reached out via phone at 301-663-6171 and via fax at 301-695-4469. You can also correspond with Tasscia M Williams Souffrant through the mailing address at 3300 S FISKE BLVD, ROCKLEDGE, FL - 32955-4306 (mailing address contact number: 321-361-5615).

Location: 61 Thomas Johnson Dr, Frederick, MD, 32955-4306
person
Provider Profile Details
NPI Number
1053694539
Provider Name
Tasscia M Williams Souffrant
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
61 Thomas Johnson Dr, Frederick, MD, 32955-4306
Phone Number
301-663-6171
Fax Number
301-695-4469
Provider Enumeration Date
09/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D85692 01 MD STATE LICENSE
PENDING 05 FL
PENDING 01 FL MEDICARE HF
institution
Provider Business Practice Location Address Details
Address
61 Thomas Johnson Dr
City
State
Zip
21702-4301
Phone Number
301-663-6171
Fax Number
301-695-4469
person
Provider Business Mailing Address Details
Address
61 Thomas Johnson Dr
City
State
Zip
21702-4301
Phone Number
301-663-6171
Fax Number
301-695-4469
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
MD458253 (Pennsylvania)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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