IndividualActive
Samuel Tisherman, MD
NPI 1891761292 · Surgical Critical Care Physician · Baltimore, MD
Provider details
- NPI number
- 1891761292
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D77517 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-6704
Fax: (410) 328-4124
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 64793
Baltimore, MD 21264-4793
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2014-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.