Theresa M. Moreland P.A-C

NPI 1982745782 - Physician Assistant - 363A00000X

NPI Details
NPI 1982745782
Gender Female
Enumeration Date 02/12/2007
Last Updated 02/18/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
5601 LOCH RAVEN BLVD
BALTIMORE MD, 21239-2905, US
Phone (410) 532-8000
Fax
Business Location
5601 LOCH RAVEN BLVD
BALTIMORE MD, 21239-2905, US
Phone (410) 532-8000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C00962
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According to our database, Theresa M. Moreland P.A-C NPI is 1982745782, taxonomy code is 363A00000X and license number is C00962, license state is located at Maryland. Theresa M. Moreland P.A-C physically located at 5601 Loch Raven Blvd, Baltimore MD, 21239-2905. NPI Number Theresa M. Moreland P.A-C has the Individual type.

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1982745782 NPI number is provided on an as is basis without warranty of any kind. 1982745782 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa M. Moreland P.A-C are for informational purposes only.