Danielle M Broome PA

NPI 1619126273 - Physician Assistant - 363A00000X

NPI Details
NPI 1619126273
Gender Female
Enumeration Date 09/18/2008
Last Updated 03/07/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
4940 EASTERN AVE
BALTIMORE MD, 21224-2735, US
Phone (410) 550-7852
Fax
Business Location
PO BOX 64362
BALTIMORE MD, 21264-4362, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Virginia
License Number 0110002835
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According to our database, Danielle M Broome PA NPI is 1619126273, taxonomy code is 363A00000X and license number is 0110002835, license state is located at Virginia. Danielle M Broome PA physically located at 4940 Eastern Ave, Baltimore MD, 21224-2735. NPI Number Danielle M Broome PA has the Individual type.

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1619126273 NPI number is provided on an as is basis without warranty of any kind. 1619126273 is maintained by the National Plan & Provider Enumeration System. The contents of Danielle M Broome PA are for informational purposes only.