Thomas Patrick Molloy IV PA

NPI 1215258553 - Physician Assistant - 363A00000X

NPI Details
NPI 1215258553
Gender Male
Enumeration Date 06/22/2010
Last Updated 06/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
9000 FRANKLIN SQUARE DR
BALTIMORE MD, 21237-3901, US
Phone (443) 777-7046
Fax
Business Location
3454 SENECA ST
BALTIMORE MD, 21211-1416, US
Phone (443) 858-8522
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mr. Thomas Patrick Molloy IV PA NPI is 1215258553, taxonomy code is 363A00000X Thomas Patrick Molloy IV PA physically located at 9000 Franklin Square Dr, Baltimore MD, 21237-3901. NPI Number Thomas Patrick Molloy IV PA has the Individual type.

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1215258553 NPI number is provided on an as is basis without warranty of any kind. 1215258553 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Patrick Molloy IV PA are for informational purposes only.