Tiffany K Wormuth PA

NPI 1992727416 - Physician Assistant - 363A00000X

NPI Details
NPI 1992727416
Gender Female
Enumeration Date 07/24/2006
Last Updated 02/27/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
7238 MECHANICSVILLE TPKE
MECHANICSVILLE VA, 23111-3502, US
Phone (804) 559-9900
Fax (804) 559-6530
Business Location
PO BOX 758963
BALTIMORE MD, 21275-8963, US
Phone (804) 968-5700
Fax (804) 217-7991
Toxanomy
Taxonomy Code 363A00000X
License State Virginia
License Number 0110001946
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According to our database, Tiffany K Wormuth PA NPI is 1992727416, taxonomy code is 363A00000X and license number is 0110001946, license state is located at Virginia. Tiffany K Wormuth PA physically located at 7238 Mechanicsville Tpke, Mechanicsville VA, 23111-3502. NPI Number Tiffany K Wormuth PA has the Individual type.

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1992727416 NPI number is provided on an as is basis without warranty of any kind. 1992727416 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany K Wormuth PA are for informational purposes only.