A&M First Assisting
Physician Assistant, Surgical in Gaithersburg, MD. Organization (NPI-2).
NPI number1295019230
StatusActive
Last updated in NPPESDec 29, 2011
Details
- NPI
- 1295019230
- Entity type
- Organization (NPI-2)
- Legal business name
- A&M First Assisting
- Organization subpart
- No
- Enumeration date
- Oct 10, 2011
- Last updated
- Dec 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | C0001066 | MD | Yes |
Practice location
19106 Peach Blossom CtGaithersburg, MD 20879-4979
Phone 301-613-6440
Mailing address
19106 Peach Blossom CtGaithersburg, MD 20879-4979
Phone 301-613-6440
Authorized official
Maria Elena Marcos Espina
Surgical Physician Assistant
3016136440
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