Patricia L. Micozzi, P.A.-C
Physician Assistant, Medical in Germantown, MD. Individual provider (NPI-1).
NPI number1275729394
StatusActive
Last updated in NPPESApr 22, 2016
Details
- NPI
- 1275729394
- Entity type
- Individual (NPI-1)
- Name
- Ms. Patricia L. Micozzi
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2007
- Last updated
- Apr 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 0110004293 | VA | Yes |
| 363AM0700X | Physician Assistant, Medical | C03566 | MD |
Practice location
20010 Century Blvd Ste 200Germantown, MD 20874-1118
Phone 240-686-2300
Mailing address
20010 Century Blvd Ste 200Germantown, MD 20874-1118
Phone 240-686-2300
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