| Doctor Name: | TIMOTHY MCCANTY |
| NPI Number: | 1710004650 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D40598 |
| Business Practice Address: | 6105 Granby Rd Derwood, MD - 208551475 |
| Business Phone Number: | 3019634079 |
| Business Fax Number: | |
| Mailing Address: | 6105 Granby Rd, DERWOOD |
| State: | MD |
| Postal Code: | 208551475 |
| Phone Number: | 3019634079 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2088P0231X |
| License Number: | D40598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Urology |
| Taxonomy Specialization: | Pediatric Urology |
| Taxonomy Definition: | Surgeons who can diagnose, treat, and manage children |