Provider Demographics
NPI:1902245798
Name:TSUMA, LABAN ERIC (MD)
Entity Type:Individual
Prefix:
First Name:LABAN
Middle Name:ERIC
Last Name:TSUMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2101 E JEFFERSON ST STE 6W
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:240-771-5202
Mailing Address - Fax:
Practice Address - Street 1:10810 CONNECTICUT AVE # 201
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2138
Practice Address - Country:US
Practice Address - Phone:303-929-7100
Practice Address - Fax:301-929-7204
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101260573207Q00000X
SC35649207Q00000X
DCMD045909207Q00000X
MDD84866207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine