Jodie Elizabeth Vogtman, PA
Physician Assistant, Surgical in Havre De Grace, MD. Individual provider (NPI-1).
NPI number1285656249
StatusActive
Last updated in NPPESMar 30, 2015
Details
- NPI
- 1285656249
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jodie Elizabeth Vogtman
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Mar 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | c0002681 | MD | Yes |
Practice location
253 Lewis Lane Ste 302Havre De Grace, MD 21014-2221
Phone 410-942-0620
Mailing address
608 Yankee Doodle DrBel Air, MD 21014-2221
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