Justin G. Adrien, PA-C
Physician Assistant in Glen Burnie, MD. Individual provider (NPI-1).
NPI number1770896532
StatusActive
Last updated in NPPESOct 15, 2013
Details
- NPI
- 1770896532
- Entity type
- Individual (NPI-1)
- Name
- Mr. Justin G. Adrien
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2010
- Last updated
- Oct 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C0004412 | MD | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
7671 Quarterfield RoadSuite 200
Glen Burnie, MD 21061
Phone 410-766-0111 · Fax 410-582-9155
Mailing address
7671 Quarterfield RoadSuite 200
Glen Burnie, MD 21061
Phone 410-766-0111 · Fax 410-582-9155
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