IndividualActive
John Ticehurst, M.D.
NPI 1962558437 · Clinical Pathology/Laboratory Medicine Physician · Glen Burnie, MD
Provider details
- NPI number
- 1962558437
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D0050680 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7385 Baltimore Annapolis Blvd Ste L
Glen Burnie, MD 21061-3278
Phone: (410) 999-6421
Approximate (ZIP-level) locationGet directions
Mailing address
4940 Eastern Ave
Baltimore, MD 21224-2735
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.