Ellen Breen Cassidy MD

NPI 1013982248 - Family Medicine - 207Q00000X

NPI Details
NPI 1013982248
Gender Female
Enumeration Date 02/21/2006
Last Updated 10/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
8601 VETERANS HWY
STE 204
MILLERSVILLE MD, 21108-1547, US
Phone (410) 553-8092
Fax
Business Location
300 HOSPITAL DR
STE 132
GLEN BURNIE MD, 21061-6902, US
Phone (410) 787-4594
Fax (410) 787-4846
Toxanomy
Taxonomy Code 207Q00000X
License State Maryland
License Number D62595
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According to our database, Dr. Ellen Breen Cassidy MD NPI is 1013982248, taxonomy code is 207Q00000X and license number is D62595, license state is located at Maryland. Ellen Breen Cassidy MD physically located at 8601 Veterans Hwy, Millersville MD, 21108-1547. NPI Number Ellen Breen Cassidy MD has the Individual type.

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1013982248 NPI number is provided on an as is basis without warranty of any kind. 1013982248 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Breen Cassidy MD are for informational purposes only.