Tara Jade Chatman PA-C

NPI 1043490303 - Physician Assistant - 363A00000X

NPI Details
NPI 1043490303
Gender Female
Enumeration Date 11/05/2007
Last Updated 11/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 E 33RD ST
SUITE B-20
BALTIMORE MD, 21218-3322, US
Phone (410) 554-2969
Fax (410) 261-8007
Business Location
200 E 33RD ST
SUITE B-20
BALTIMORE MD, 21218-3322, US
Phone (410) 554-2969
Fax (410) 261-8007
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C03675
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According to our database, Ms. Tara Jade Chatman PA-C NPI is 1043490303, taxonomy code is 363A00000X and license number is C03675, license state is located at Maryland. Tara Jade Chatman PA-C physically located at 200 E 33rd St, Baltimore MD, 21218-3322. NPI Number Tara Jade Chatman PA-C has the Individual type.

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1043490303 NPI number is provided on an as is basis without warranty of any kind. 1043490303 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Jade Chatman PA-C are for informational purposes only.