Amy M Moss PAC

NPI 1861479487 - Physician Assistant - 363A00000X

NPI Details
NPI 1861479487
Gender Female
Enumeration Date 12/23/2005
Last Updated 01/18/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
9114 PHILADELPHIA RD
STE 108, MEDICAL HEALTH GROUP AT WHITE MARSH
BALTIMORE MD, 21237-4317, US
Phone (410) 918-0777
Fax (410) 369-1701
Business Location
9114 PHILADELPHIA RD
STE 180, MEDICAL HEALTH GROUP AT WHITE MARSH
BALTIMORE MD, 21237-4317, US
Phone (410) 918-0777
Fax (410) 369-1701
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C0003000
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According to our database, Amy M Moss PAC NPI is 1861479487, taxonomy code is 363A00000X and license number is C0003000, license state is located at Maryland. Amy M Moss PAC physically located at 9114 Philadelphia Rd, Baltimore MD, 21237-4317. NPI Number Amy M Moss PAC has the Individual type.

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1861479487 NPI number is provided on an as is basis without warranty of any kind. 1861479487 is maintained by the National Plan & Provider Enumeration System. The contents of Amy M Moss PAC are for informational purposes only.