Embriel LLC
Physician Assistant, Surgical in Bethesda, MD. Organization (NPI-2).
NPI number1497380968
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1497380968
- Entity type
- Organization (NPI-2)
- Legal business name
- Embriel LLC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2020
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
6500 Rock Spring Dr Ste 100Bethesda, MD 20817-1182
Phone 240-320-6521
Mailing address
7512 Oyster Bay WayGaithersburg, MD 20886-5907
Phone 240-320-6521
Authorized official
Gem Y Walker Lawson
Surgical First Assist
2403206521
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