NPI 1891025631

Maryland Surgical Assistants

Organisation Surgical Physician Assistant Bel Air, MD

Practice location

Address: 615 W Macphail Rd Suite 210, Bel Air, MD 21014-4309
Phone: (443) 643-2078
Fax: (443) 643-2088
Mailing address: 104 Saint Dunstans Rd, Baltimore, MD 21212-3310

Authorised official

Name: Spiro B Antoniades
Title: President
Phone: (443) 643-2078

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence C0002581 (MD)

Other Physician Assistant providers in Maryland →

Registry record

NPI: 1891025631
Entity type: Organization
NPI issued: 29 Dec 2009
Record last updated: 29 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.