Larry A Waskow PA-C

NPI 1710949003 - Physician Assistant - 363A00000X

NPI Details
NPI 1710949003
Gender Male
Enumeration Date 04/04/2006
Last Updated 05/06/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1838 GREENE TREE RD
SUITE 460
BALTIMORE MD, 21208-6391, US
Phone (410) 581-1600
Fax
Business Location
25 CROSSROADS DR
SUITE 306
OWINGS MILLS MD, 21117-5421, US
Phone (410) 581-1600
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C0000274
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According to our database, Mr. Larry A Waskow PA-C NPI is 1710949003, taxonomy code is 363A00000X and license number is C0000274, license state is located at Maryland. Larry A Waskow PA-C physically located at 1838 Greene Tree Rd, Baltimore MD, 21208-6391. NPI Number Larry A Waskow PA-C has the Individual type.

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1710949003 NPI number is provided on an as is basis without warranty of any kind. 1710949003 is maintained by the National Plan & Provider Enumeration System. The contents of Larry A Waskow PA-C are for informational purposes only.