Mary Katherine Guay, PA-C
Physician Assistant in Baltimore, MD. Individual provider (NPI-1).
NPI number1790769008
StatusActive
Last updated in NPPESJan 24, 2024
Details
- NPI
- 1790769008
- Entity type
- Individual (NPI-1)
- Name
- Mary Katherine Guay
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2005
- Certification date
- Jan 24, 2024
- Last updated
- Jan 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C05161 | MD | Yes |
| 363A00000X | Physician Assistant | 10001429A | IN | |
| 363A00000X | Physician Assistant | MA053807 | PA | |
| 363A00000X | Physician Assistant | 56513 | CA |
Practice location
1800 Orleans StBaltimore, MD 21287-0010
Phone 410-502-2037 · Fax 410-955-0737
Mailing address
6201 Greenleigh AveMiddle River, MD 21220-2004
Phone 410-933-6423 · Fax 410-500-4266
Other practice locations
200 W Arbor Dr
San Diego, CA 92103-9000
San Diego, CA 92103-9000
Phone 800-926-8273
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