Provider Demographics
NPI:1306807508
Name:BESCAK, TODD M (DO)
Entity type:Individual
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First Name:TODD
Middle Name:M
Last Name:BESCAK
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Gender:M
Credentials:DO
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Mailing Address - Street 1:105 PINE BLUFF RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7160
Mailing Address - Country:US
Mailing Address - Phone:410-749-1191
Mailing Address - Fax:410-749-6111
Practice Address - Street 1:10231 OLD OCEAN CITY BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-3566
Practice Address - Country:US
Practice Address - Phone:410-641-1744
Practice Address - Fax:410-641-3805
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2008-09-23
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Provider Licenses
StateLicense IDTaxonomies
MDH0067920207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology