David Lichtman, P.A.
Physician Assistant in Baltimore, MD. Individual provider (NPI-1).
NPI number1124136304
StatusActive
Last updated in NPPESMay 27, 2011
Details
- NPI
- 1124136304
- Entity type
- Individual (NPI-1)
- Name
- David Lichtman
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2006
- Last updated
- May 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C0003514 | MD | Yes |
| 363A00000X | Physician Assistant | 0110002440 | VA |
Practice location
600 N Wolfe StPark Building - Suite 304x
Baltimore, MD 21287-0005
Phone 443-287-3631 · Fax 410-502-0923
Mailing address
# 64264Baltimore, MD 21264-4264
Phone 410-558-5238
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